MEDICARE: FOREST ACRES COMMUNITY HEALTHCARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1285418335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOREST ACRES COMMUNITY HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	262 N UNIVERSITY AVE
Second Line	:
City	:	FARMINGTON
State	:	UT
Zip	:	84025-2975
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 FOREST DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-2363
Country	:	US
Telephone Number	:	803-256-4983
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	JOHN MITCHELL
Credential	:
Telephone Number	:	385-988-3319

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	08/22/2024

Similar Medicare Providers

1407838063 — SOUTH CAROLINA MEDICAL ENDOSCOPY, INC.
Practice Location Address:

2631 FOREST DR
COLUMBIA, SC
29204-2363

Practice Phone: 803-254-8449
Practice Fax: 803-254-8984

1922082296 — DR. STEPHEN C LLOYD M.D., PH.D.
Practice Location Address:

2631 FOREST DR
COLUMBIA, SC
29204-2363

Practice Phone: 803-254-8449
Practice Fax: 803-254-8984

1124097563 — MEDICAL ENDOSCOPY PROFESSIONALS, PA
Practice Location Address:

2631 FOREST DR
COLUMBIA, SC
29204-2363

Practice Phone: 803-254-8449
Practice Fax: 803-254-8984

1033163456 — LORETTA J. SHAFFER APRN
Practice Location Address:

2601 FOREST DRIVE , AGAPE SENIOR PRIMARY CARE INC
COLUMBIA, SC
29204-2363

Practice Phone: 803-491-0909
Practice Fax: 843-353-2581

1518908409 — COLUMBIA REHABILITATION AND NURSING CENTER-COLUMBIA SC LLC
Practice Location Address:

2601 FOREST DR
COLUMBIA, SC
29204-2363

Practice Phone: 803-256-4983
Practice Fax: 803-256-6273

1023152543 — GWANETIA M JOHNSON PTA
Practice Location Address:

2601 FOREST DR
COLUMBIA, SC
29204-2363

Practice Phone: 803-765-7127
Practice Fax:

1447494356 — DAVID CHAPPELL CRNA
Practice Location Address:

2631 FOREST DR
COLUMBIA, SC
29204-2363

Practice Phone: 803-603-6622
Practice Fax:

Directions to “FOREST ACRES COMMUNITY HEALTHCARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.