Wildewood Retirement LLC
NPI 1619532801 · Skilled Nursing Facility · Columbia, SC
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wildewood Retirement LLC is a Skilled Nursing Facility organization in Columbia, SC (NPI 1619532801).
Provider details
- NPI number
- 1619532801
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Benjamin Thompson, Manager(704) 815-7341
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-03
- Last updated
- 2019-05-03
Frequently asked questions
- What is Wildewood Retirement LLC's NPI number?
- Wildewood Retirement LLC's National Provider Identifier (NPI) is 1619532801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wildewood Retirement LLC?
- Wildewood Retirement LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Wildewood Retirement LLC located?
- Wildewood Retirement LLC's practice location on file with NPPES is 731 Polo Rd, Columbia, SC 29223-4462.
- What is Wildewood Retirement LLC's phone number?
- The practice phone number listed in the NPPES registry for Wildewood Retirement LLC is (803) 788-5115.
- Does Wildewood Retirement LLC accept Medicare?
- Wildewood Retirement LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wildewood Retirement LLC?
- The authorized official listed on Wildewood Retirement LLC's NPPES record is Benjamin Thompson, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wildewood Retirement LLC's NPI active?
- Yes — Wildewood Retirement LLC's NPI (1619532801) is active in the NPPES registry as of the last update on 2019-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.