Fountain Inn Healthcare, LLC
NPI 1912630120ActiveOrganization· Skilled Nursing Facility· Fountain Inn, SC
Skilled Nursing Facility in Fountain Inn, South Carolina, registered in NPPES in July 2022. The authorized official on file is John Mitchell, Secretary. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1912630120 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 5, 2022 |
| Last updated in NPPES | Aug 22, 2024 |
| Certified by provider | Aug 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (SC) |
|---|
Other Skilled Nursing Facility providers in Fountain Inn
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