Healthcare Provider Details

I. General information

NPI: 1992662134
Provider Name (Legal Business Name): SUMTER OPCO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 CARTER RD
SUMTER SC
29150-1712
US

IV. Provider business mailing address

PO BOX 2568
HICKORY NC
28603-2568
US

V. Phone/Fax

Practice location:
  • Phone: 803-469-7007
  • Fax:
Mailing address:
  • Phone: 828-270-0651
  • Fax: 828-270-6065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. CHARLES TREFZGER JR.
Title or Position: MANAGER
Credential:
Phone: 828-322-5535