NPIMap

Organization Active NPI

Forest Acres Community Healthcare, LLC

Doing business as Forest Acres Post Acute

  • Skilled Nursing Facility
  • Columbia, SC
National Provider Identifier
1285418335
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FOREST ACRES COMMUNITY HEALTHCARE, LLC
Doing business as
Forest Acres Post Acute
Practice address
2601 Forest Dr
Columbia, SC 29204-2363
Phone
(803) 256-4983
NPI assigned
Aug 21, 2023
Last updated
Aug 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Mitchell
Title
Secretary
Phone
(385) 988-3319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2601 Forest Dr
Columbia, SC 29204-2363

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • Forest Acres Post Acute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240412003670 SC Part A Provider - Skilled Nursing Facility 5496194243 Practice locations: Columbia, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285418335. Details of each certification follow.

Skilled nursing facility certification: CCN 425008

Legal name
FOREST ACRES COMMUNITY HEALTHCARE, LLC
Doing business as
FOREST ACRES POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 28, 1972
Last certification
May 15, 2025
Beds
132
Ownership / control type
Limited Liability Corporation
Multi-facility organization
PACs
Most recent change of ownership
Jan 9, 2024
Organization structure
LLCProprietary
Incorporated
Aug 9, 2023 in SC
Enrollment address
2601 Forest Dr
Columbia, SC 29204-2363
Nursing home name
FOREST ACRES POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Forest Acres Post AcuteCCN 425008 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 28, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
132125.0 residents per day on average
Chain
Pacs Group274 facilities in the chain
Penalties (3 years)
2Fines totaling $82,018

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0249561Forest Acres Post Acute2601 Forest Drive, Columbia, SC 29204Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Providence Group Inc Organization, Farmington, UT Corporation, Holding company, For-profit Adp of the SNF Mar 24, 2025
Jason H Murray Individual 5% Or Greater Indirect Ownership InterestDirector - Pacs Group Inc Aug 9, 2023 35.2%
John T Mitchell Individual Operational/Managerial Control Jan 1, 2024
Latasha Nickerson Individual Operational/Managerial Control Jan 9, 2024
SC Master Tenant, LLC Organization, Farmington, UT LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 9, 2023 100%
Leon Hunt Individual Operational/Managerial Control Jan 9, 2024
Adp of the SNF Mar 24, 2025
Caden Haws Individual Operational/Managerial Control Aug 23, 2024
Adp of the SNF Mar 24, 2025
Frederick G Apt Individual Operational/Managerial Control Jan 1, 2024
Organization, Toledo, OH LLC, For-profit Adp of the SNF Oct 1, 2023
Providence Group NH, LLC Organization, Farmington, UT LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 9, 2023 100%
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 9, 2023 100%
Providence Administrative Consulting Services Inc Organization, Farmington, UT Corporation, Consulting firm, For-profit Adp of the SNF Jan 9, 2024
Truist Bank Organization, Charlotte, NC Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Dec 7, 2023 100%
Joshua O Jergensen Individual Operational/Managerial Control Jan 1, 2024
Pacs Group, Inc. Organization, Farmington, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 9, 2023 100%
Mark D Hancock Individual 5% Or Greater Indirect Ownership InterestDirector - Pacs Group Inc Aug 9, 2023 35.2%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 186

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 186

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1285418335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042363",
            "telephone_number": "803-256-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST ACRES COMMUNITY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "385-988-3319"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Acres Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Forest Acres Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.