NPIMap

Organization Active NPI

Reedy River Community Healthcare, LLC

  • Skilled Nursing Facility
  • Greenville, SC
National Provider Identifier
1861276917
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
REEDY RIVER COMMUNITY HEALTHCARE, LLC
Practice address
600 Sulphur Springs Rd
Greenville, SC 29617-1622
Phone
(864) 246-2721
NPI assigned
Aug 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 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

600 Sulphur Springs Rd
Greenville, SC 29617-1622

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • Reedy River 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
O20240419001541 SC Part A Provider - Skilled Nursing Facility 6002255320 Practice locations: Greenville, SC

Skilled nursing facility certification: CCN 425294

Legal name
REEDY RIVER COMMUNITY HEALTHCARE LLC
Doing business as
REEDY RIVER POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1990
Last certification
Oct 24, 2024
Beds
88
Ownership / control type
Limited Liability Corporation
Multi-facility organization
PACS
Organization structure
LLCProprietary
Incorporated
Aug 9, 2023 in SC
Enrollment address
600 Sulphur Springs Rd
Greenville, SC 29617-1622
Nursing home name
PROMEDICA SKILLED NURSING AND REH- GREENVILLE WEST
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Promedica Skilled Nursing And Reh- Greenville WestCCN 425294
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
88117.0 residents per day on average
Chain
Pacs Group274 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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 Jan 9, 2024 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
Kody Bradford Individual Operational/Managerial Control Jan 9, 2024
Adp of the SNF Aug 22, 2025
Providence Group NH, LLC Organization, Farmington, UT LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 9, 2024 100%
Pacs Holdings, LLC Organization, Farmington, UT LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 9, 2024 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 Jan 9, 2024 100%
Oakmont West SC Owner LLC Organization, Toledo, OH LLC Adp of the SNF Oct 1, 2023
Angela Davis Individual Operational/Managerial Control Jan 9, 2024
Laurie Marie Theriot Roley Individual Operational/Managerial Control Jan 9, 2024
Adp of the SNF Aug 22, 2025
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Jan 9, 2024 50%

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 3

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": "1724371200000",
    "number": "1861276917",
    "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": "600 SULPHUR SPRINGS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171622",
            "telephone_number": "864-246-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDY RIVER COMMUNITY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "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": "Reedy River Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reedy River Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.