FOREST FAMILY CARE INC NPI 1811284912

NPI Information

NPI: 1811284912
Provider Name: FOREST FAMILY CARE, INC

Doing Business As: FOREST FAMILY CARE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3874 RENEE DR UNIT B
MYRTLE BEACH, SC
ZIP 29579
Phone: (843) 903-4500
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FOREST FAMILY CARE, INC is a family nurse practitioner in Myrtle Beach, SC. FOREST FAMILY CARE, INC NPI is 1811284912. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Forest Family Care.

The provider's business location address is:

3874 RENEE DR UNIT B
MYRTLE BEACH, SC
ZIP 29579-358
Phone: (843) 903-4500
Fax: (843) 903-4505

The provider's authorized official is Jessica Grace Smith Chasse .
The authorized official title is Owner/ceo and has the following contact phone number (843) 903-4500.

The enumeration date for this NPI number is 7/9/2011 and was last updated on 3/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F2018	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP5615	OTHER	SOUTH CAROLINA	MEDICAID ID
2	5747	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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