REGINALD L. HARRIS ANNEX


Address: 615 Ridge Rd, Roxboro, NC 27573-4629
Phone: 3365992121

REGINALD L. HARRIS ANNEX (NPI# 1053370833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053370833
Entity Type Organization
Organization Name REGINALD L. HARRIS ANNEX
Practice Address 615 Ridge Rd
Roxboro
NC 27573-4629
Practice Telephone 3365992121
Mailing Telephone 3365992121
Enumeration Date 2006-03-21
Last Update Date 2020-08-22
Authorized Official Name CRAIG JAMES (ADMINISTRATION)
Authorized Official Telephone 3365992121
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility H0066 NC Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 3496588 05
NC BLUE CROSS PROVIDER # 00904 01
NC 3405004 05

Office Location

Street Address 615 RIDGE RD
City ROXBORO
State NC
Zip Code 27573-4629

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760469282 Alesa Mcdowell Eanes Dietitian, Registered 615 Ridge Rd, Roxboro, NC 27573-4629 2005-12-27
1912529819 Esther Amprofi Nurse Practitioner 615 Ridge Rd, Roxboro, NC 27573-4629 2020-05-13
1831722503 Nadine Kundimana Minani Physician Assistant 615 Ridge Rd, Roxboro, NC 27573-4629 2020-02-20
1932769536 Jon Dinozzi Nurse Practitioner 615 Ridge Rd, Roxboro, NC 27573-4629 2019-06-17
1245899616 Angela Yvette Blackburn Hospitalist 615 Ridge Rd, Roxboro, NC 27573-4629 2019-06-10
1164086179 Samantha Jo Hanes Speech-Language Pathologist 615 Ridge Rd, Roxboro, NC 27573-4629 2019-04-24
1053876565 Erica Eileen Luna Occupational Therapist 615 Ridge Rd, Roxboro, NC 27573-4629 2019-02-08
1003300294 Amy Katherine Arnette Physical Therapist 615 Ridge Rd, Roxboro, NC 27573-4629 2018-06-20
1689166332 Krystal Speights Speech-Language Pathologist 615 Ridge Rd, Roxboro, NC 27573-4629 2018-05-30
1942725668 Sarah Sorenson Occupational Therapist 615 Ridge Rd, Roxboro, NC 27573-4629 2017-08-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043786783 Caitlin Elissa Seidler Physician Assistant 910 N Madison Blvd Ste B, Roxboro, NC 27573 2018-10-21
1467821801 Iris W Jackola Nurse Practitioner 796 Doctor's Court, Roxboro, NC 27573 2015-09-16
1568897213 Person County Group Homes, Inc. Community/Behavioral Health 607 Henry Street, Roxboro, NC 27573 2013-09-12
1760820336 J-1 Consultants LLC Psychologist 315 Old Allensville Road, Roxboro, NC 27573 2013-06-05
1932445749 Ronnie Lee Chandler Pharmacist 109 North Main St., Roxboro, NC 27573 2012-12-26
1154559581 Roxboro Medaccess Primary Care Clinic/Center 3762 Durham Road, Roxboro, NC 27573 2009-06-24
1699922302 Bruce Wayne Walsh Counselor 355 C1 S. Madison Blvd, Roxboro, NC 27573 2008-08-25
1033232020 Person County Department of Social Services Durable Medical Equipment & Medical Supplies 355-b South Madison Blvd, Roxboro, NC 27573 2007-04-06
1417095886 Thomas Jones Day Jr. Dentist 407 North Main St, Roxboro, NC 27573 2007-02-01
1578622288 Corey Wayne Wilson Dentist 112 West Barden Street, Roxboro, NC 27573 2006-12-08
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy 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.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962479832 Roxboro Nursing Center, Inc Skilled Nursing Facility 901 Ridge Rd, Roxboro, NC 27573-4511 2006-03-01
1942583752 Dlp Person Memorial Hospital LLC Skilled Nursing Facility 615 Ridge Rd, Roxboro, NC 27573-4629 2011-09-28

Providers in the same taxonomy and state

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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Competitor

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City ROXBORO
Zip Code 27573

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Dataset Information

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.

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