NPIMap

Organization Active NPI

Berea Community Healthcare, LLC

  • Skilled Nursing Facility
  • Greenville, SC
National Provider Identifier
1548044696
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BEREA COMMUNITY HEALTHCARE, LLC
Practice address
601 Sulphur Springs Rd
Greenville, SC 29617-1621
Phone
(864) 900-4913
NPI assigned
Aug 21, 2023
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

601 Sulphur Springs Rd
Greenville, SC 29617-1621

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • Cherrydale 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
O20240528001404 SC Part A Provider - Skilled Nursing Facility 4486096112 Practice locations: Greenville, SC

Skilled nursing facility certification: CCN 425106

Legal name
BEREA COMMUNITY HEALTHCARE LLC
Doing business as
CHERRYDALE POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1976
Last certification
Apr 11, 2025
Beds
132
Ownership / control type
Limited Liability Corporation
Multi-facility organization
PACS
Organization structure
LLCProprietary
Incorporated
Aug 9, 2023 in SC
Enrollment address
601 Sulphur Springs Rd
Greenville, SC 29617-1621
Nursing home name
HEARTLAND HEALTH CARE CENTER - GREENVILLE EAST
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heartland Health Care Center - Greenville EastCCN 425106
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
132126.2 residents per day on average
Chain
Pacs Group274 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
1Fines totaling $12,418

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

601 Sulphur Springs Rd
Greenville, SC 29617
Phone (828) 246-2721

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest Sep 13, 2023 50%
John T Mitchell Individual Corporate OfficerSecretary Jan 1, 2024
SC Master Tenant, LLC Organization, Farmington, UT LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 13, 2023 100%
Frederick G Apt Individual Corporate OfficerTreasurer Jan 1, 2024
Providence Group NH, LLC Organization, Farmington, UT LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 13, 2023
Mark Millet Individual W-2 Managing EmployeeAdministrator Sep 13, 2023
Pacs Holdings, LLC Organization, Farmington, UT LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 13, 2023 100%
Joshua O Jergensen Individual Corporate OfficerPresident Jan 1, 2024
Pacs Group, Inc. Organization, Farmington, UT Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 13, 2023 100%
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Sep 13, 2023 50%

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 2

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": "1548044696",
    "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": "601 SULPHUR SPRINGS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171621",
            "telephone_number": "864-900-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEREA 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": "Cherrydale Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.