EVEREST LONG TERM CARE, LLC (NPI# 1003205337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003205337 |
Entity Type | Organization |
Organization Name | EVEREST LONG TERM CARE, LLC |
Other Organization Name | SPRINGBROOK NURSING AND REHABILITATION |
Practice Address |
195 Springbrook Ave Clayton NC 27520-8105 |
Practice Telephone | 9195507200 |
Practice Fax Number | 9195507299 |
Mailing Telephone | 9195507200 |
Mailing Fax Number | 9195507299 |
Enumeration Date | 2015-01-09 |
Last Update Date | 2017-04-10 |
Authorized Official Name | MS. KAREN G MCDANIEL (PRESIDENT/CEO) |
Authorized Official Telephone | 2525239094 |
Is Organization Subpart | Y |
Parent Organization Name | PRINCIPLE LONG TERM CARE, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Springbrook Nursing and Rehabilitation | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144256694 | Everest Long Term Care, LLC | Skilled Nursing Facility | 1716 Legion Rd, Chapel Hill, NC 27517-2390 | 2006-06-25 |
1205862976 | Everest Long Term Care, LLC | Skilled Nursing Facility | 7369 Hunter Hill Rd, Rocky Mount, NC 27804-7954 | 2006-06-24 |
1548206907 | Everest Long Term Care, LLC | Skilled Nursing Facility | 3315 Faith Church Rd, Indian Trail, NC 28079-9300 | 2006-06-22 |
1356387153 | Everest Long Term Care, LLC | Skilled Nursing Facility | 3609 Bond St, Raleigh, NC 27604-3801 | 2006-06-21 |
1467637553 | Everest Long Term Care, LLC | Nursing Facility/Intermediate Care Facility | 7369 Hunter Hill Rd, Rocky Mount, NC 27804-7954 | 2008-01-08 |
Street Address |
195 SPRINGBROOK AVE |
City | CLAYTON |
State | NC |
Zip Code | 27520-8105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356303796 | Christine A Pfeifer | Nurse Practitioner | 195 Springbrook Ave, Clayton, NC 27520-8105 | 2006-04-03 |
1861093866 | Colleen Reilly Kane | Occupational Therapist | 195 Springbrook Ave, Clayton, NC 27520-8105 | 2020-11-05 |
1023580594 | Devyn Fletcher | Physical Therapist | 195 Springbrook Ave, Clayton, NC 27520-8105 | 2018-12-21 |
1154801678 | Kari Williams | Speech-Language Pathologist | 195 Springbrook Ave, Clayton, NC 27520-8105 | 2018-08-14 |
1356820096 | Lauren Sweeney | Occupational Therapist | 195 Springbrook Ave, Clayton, NC 27520-8105 | 2018-08-13 |
1154800126 | Heart E Cahiles | Physical Therapist | 195 Springbrook Ave, Clayton, NC 27520-8105 | 2018-08-10 |
1659850618 | Allen Mullins | Physical Therapist | 195 Springbrook Ave, Clayton, NC 27520-8105 | 2018-08-10 |
1255810339 | Stephanie Lee Baliko | Speech-Language Pathologist | 195 Springbrook Ave, Clayton, NC 27520-8105 | 2018-08-09 |
1063679074 | Ty L Allen | Physical Therapist | 195 Springbrook Ave, Clayton, NC 27520-8105 | 2008-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
1952947798 | Mac Partners LLC | Home Health | 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 | 2019-11-26 |
1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
1396217923 | Lindsey R. Williams Dds, Pa | Dentist | 45 Shotwell Rd., Clayton, NC 27520 | 2018-12-20 |
1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
1245733971 | Cordelia O Emebo | Pharmacist | 11360 Old Us Hwy 70 West, Clayton, NC 27520 | 2018-03-08 |
1487166906 | Kendall Bonot Rodgers | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520 | 2017-10-25 |
1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
Find all providers in zip 27520 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(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. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336229863 | Medical Management Concepts LLC | Skilled Nursing Facility | 547 Warwoman Rd, Clayton, GA 30525 | 2006-10-17 |
1063467348 | Silverstone Healthcare of Clayton, LLC | Skilled Nursing Facility | 419 Harding St, Clayton, NM 88415-3323 | 2006-05-24 |
1730668880 | 419 Harding Street Operation LLC | Skilled Nursing Facility | 419 Harding St, Clayton, NM 88415-3323 | 2018-08-09 |
1326580853 | Mountain View Health & Rehab LLC | Skilled Nursing Facility | 547 Warwoman Rd, Clayton, GA 30525-5142 | 2016-11-15 |
1932450848 | Clayton Health Facilities Lp | Skilled Nursing Facility | 419 Harding St, Clayton, NM 88415-3323 | 2012-10-02 |
1194924605 | Clayton Nursing Operations LLC | Skilled Nursing Facility | 419 Harding St, Clayton, NM 88415-3323 | 2007-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164063756 | Cary Senior Housing I Opco, LLC | Skilled Nursing Facility | 221 Brightmore Dr, Cary, NC 27518-8145 | 2019-10-04 |
1629535455 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 621 Chestnut Ridge Pkwy, Blowing Rock, NC 28605-8962 | 2019-02-28 |
1871063214 | Vero Health X, LLC | Skilled Nursing Facility | 417 Cloverdale Rd, Sylva, NC 28779-0679 | 2018-11-28 |
1821573809 | Carolina Bay Healthcare Center of Wilmington, LLC | Skilled Nursing Facility | 740 Diamond Shoals Rd, Wilmington, NC 28403-4388 | 2018-09-26 |
1093228397 | Bellarose Nursing and Rehab Center, Inc. | Skilled Nursing Facility | 200 Bellarose Lake Way, Garner, NC 27529-7049 | 2017-11-08 |
1558872333 | Brunswick Health & Rehab Center, LLC | Skilled Nursing Facility | 9600 No 5 School Rd Nw, Ash, NC 28420-2122 | 2017-10-19 |
1538684212 | Eagle Acquisition Vi LLC | Skilled Nursing Facility | 901 S Halstead Blvd., Elizabeth City, NC 27909-6920 | 2017-08-03 |
1982130811 | Ashton Health and Rehabilitation, LLC | Skilled Nursing Facility | 5533 Burlington Rd, Mc Leansville, NC 27301-9622 | 2017-05-11 |
1831625037 | Supplemental Healthcare | Skilled Nursing Facility | 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 | 2017-05-08 |
1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.