FOUNTAIN INN POST ACUTE
NPI 1912630120
Skilled Nursing Facility in Fountain Inn, SC

Active since July 05, 2022CLIA 42D0958568 · Waiver
501 GULLIVER ST, FOUNTAIN INN, SC 29644(864) 862-2554 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2024, Aug 13, 2024, Jul 5, 2022 (3 updates tracked since 2022).

About Fountain Inn Post Acute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUNTAIN INN POST ACUTE (NPI 1912630120) is a healthcare organization registered as a skilled nursing facility in Fountain Inn, South Carolina and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists John Mitchell, Secretary, as its authorized official.

NPPES Registry Identity

NPI1912630120
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFOUNTAIN INN HEALTHCARE, LLC
Location Address501 GULLIVER STFountain Inn, SC 29644-2105
Mailing Address262 N University AveFarmington, UT 84025-2975
Organization SubpartNo
Authorized OfficialJohn MitchellSecretary · (385) 988-3319
Enumeration DateJuly 5, 2022
Last NPPES UpdateAugust 22, 20243 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
NPI 1912630120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
501 GULLIVER ST, Fountain Inn, SC 29644

Other Names 1

Doing Business AsFountain Inn Post Acute

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D0958568

Fountain Inn Post Acute · Fountain Inn, SC
Active · expires Mar 21, 2027
CLIA Number42D0958568
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorDr. Kerry Wheeler
Laboratory Phone(864) 862-2554
Laboratory LocationFountain Inn Post Acute501 Gulliver Street, Fountain Inn, SC 29644
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
501 GULLIVER ST
FOUNTAIN INN, SC 29644
Skilled Nursing Facility
501 GULLIVER ST
FOUNTAIN INN, SC 29644
Occupational Therapist
501 GULLIVER ST
FOUNTAIN INN, SC 29644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fountain Inn Healthcare, LLC's NPI number?

The NPI number for Fountain Inn Healthcare, LLC is 1912630120. It was assigned to this organization in the NPPES registry on July 5, 2022. The provider is doing business as Fountain Inn Post Acute.

Where is Fountain Inn Healthcare, LLC located?

Fountain Inn Healthcare, LLC is located at 501 Gulliver St, Fountain Inn, SC 29644. The listed phone number is (864) 862-2554.

What is Fountain Inn Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Fountain Inn Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0958568) is associated with this NPI, valid through March 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fountain Inn Healthcare, LLC was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.