SENIOR CARE GROUP OF YANCEY LLC (NPI# 1053395210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053395210 |
| Entity Type | Organization |
| Organization Name | SENIOR CARE GROUP OF YANCEY LLC |
| Other Organization Name | BROCKSIDE REHABILITATION AND CARE |
| Practice Address |
310 Pensacola Rd Burnsville NC 28714-3318 |
| Mailing Address |
1240 Marbella Plaza Dr Tampa FL 33619-7906 |
| Practice Telephone | 8286829759 |
| Practice Fax Number | 8286824096 |
| Mailing Telephone | 8133412700 |
| Mailing Fax Number | 8136760126 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2009-12-23 |
| Authorized Official Name | MR. ROBERT DANIEL VAUGHAN (PRESIDENT) |
| Authorized Official Telephone | 8133412700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0467 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3415305 | 05 |
| Other Name | Type Code |
|---|---|
| Brockside Rehabilitation and Care | Doing Business As Name - Organization |
| Street Address |
310 PENSACOLA RD |
| City | BURNSVILLE |
| State | NC |
| Zip Code | 28714-3318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242881 | Ashley Lashannon Stanley | Physical Therapy Assistant | 310 Pensacola Rd, Burnsville, NC 28714-3318 | 2019-02-25 |
| 1568927143 | Elizabeth Ann Buchanan | Physical Therapist | 310 Pensacola Rd, Burnsville, NC 28714-3318 | 2019-02-07 |
| 1932664703 | Jennifer Ann Givens | Speech-Language Pathologist | 310 Pensacola Rd, Burnsville, NC 28714-3318 | 2019-02-06 |
| 1316399652 | Kelsey Geneva Hanger | Specialist | 310 Pensacola Rd, Burnsville, NC 28714-3318 | 2016-07-11 |
| 1568850998 | Bryan Schlecht | Physical Therapist | 310 Pensacola Rd, Burnsville, NC 28714-3318 | 2015-01-08 |
| 1770793929 | Jayme Lee Agbayani | Occupational Therapist | 310 Pensacola Rd, Burnsville, NC 28714-3318 | 2007-05-23 |
| 1871676015 | Senior Care Group LLC | Skilled Nursing Facility | 310 Pensacola Rd, Burnsville, NC 28714-3318 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154895894 | Mh Mission Hospital, Lllp | Ambulance | 225 Wheeler Hill Rd., Burnsville, NC 28714 | 2019-01-16 |
| 1528579430 | Healthstat Onsite Clinic Hsm-micaville | Preventive Medicine | 455 Hickory Springs Road, Burnsville, NC 28714 | 2017-10-18 |
| 1649794470 | Nalda Rives Mills | Counselor | 121b Boone Ridge Dr, Burnsville, NC 28714 | 2017-08-02 |
| 1386029106 | Kyle Duncan | Dentist | 534 East Bypass, Burnsville, NC 28714 | 2015-07-22 |
| 1326474503 | Priscilla Jones Whitson | Physical Therapist | 1720 Us Highways 19e, Burnsville, NC 28714 | 2013-09-19 |
| 1467724179 | Melissa Hill Rosenberger | Pharmacist | 115 Reservoir Road Hwy 19 East Bypass, Burnsville, NC 28714 | 2012-01-27 |
| 1649507971 | Cnc / Access Inc. | In Home Supportive Care | 109 Us Hwy 19 East, Bldg 3 Unit 13, Burnsville, NC 28714 | 2009-11-06 |
| 1841526910 | Beth E Ball | Nurse Practitioner | 800 Medical Campus Drive, Burnsville, NC 28714 | 2009-10-26 |
| 1023255122 | Amy M Earnheart | Counselor | 333 Mountain Heritage High School Road, Bursnville, NC 28714 | 2009-01-11 |
| 1245419480 | Yancey County Committee On Aging, Inc. | Health Maintenance Organization | 10 Swiss Avenue, Burnsville, NC 28714 | 2007-10-24 |
| Find all providers in zip 28714 | ||||
| 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 |
|---|---|---|---|---|
| 1265433767 | Ebenezer Ridges | Skilled Nursing Facility | 13820 Community Dr, Burnsville, MN 55337-4519 | 2005-08-09 |
| 1871676015 | Senior Care Group LLC | Skilled Nursing Facility | 310 Pensacola Rd, Burnsville, NC 28714-3318 | 2006-10-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 28714 |
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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.