CYPRESS GLEN RETIREMENT COMMUNITY (NPI# 1053395335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053395335 |
| Entity Type | Organization |
| Organization Name | CYPRESS GLEN RETIREMENT COMMUNITY |
| Practice Address |
100 Hickory Street Greenville NC 27585-1637 |
| Practice Telephone | 2528300036 |
| Practice Fax Number | 2528300411 |
| Mailing Telephone | 2528300036 |
| Mailing Fax Number | 2528300411 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2011-08-11 |
| Authorized Official Name | MR. DONALD E. METZGER SR. (CHAIRMAN OF THE BOARD) |
| Authorized Official Telephone | 9107384652 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0473 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLIE CROSS AND BLUE SHILE | 009CH | 01 |
| Street Address |
100 HICKORY STREET |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27585-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467988634 | Melissa Decarlo | Physical Therapist | 100 Hickory Street, Greenville, NC 27858 | 2017-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386613 | Grinville Dentistry LLC | Clinic/Center | 114 Laurens Rd Ste A, Greenville, SC 29607-1826 | 2020-11-06 |
| 1952902900 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2500 Terry Pl, Greenville, TX 75402-7131 | 2020-11-05 |
| 1811598865 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 100 Patti J St, Greenville, TX 75402-8053 | 2020-11-05 |
| 1841891892 | Hunter L Mote | Psychologist | 7174 Hammond Dr, Greenville, OH 45331-2408 | 2020-11-05 |
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1265033658 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3506 Garber Cir, Greenville, TX 75402-6234 | 2020-11-03 |
| 1427659960 | Ruby Donald Residential Care LLC | Nursing Care | 2 Ruby Donald Place, Greenville, SC 29617 | 2020-11-02 |
| 1235739160 | Sherman Residential Care | Nursing Care | 20 Mayfield St, Greenville, SC 29601-1815 | 2020-10-29 |
| 1104426907 | Firefly Therapy Clinic LLC | Clinic/Center | 2103 Hartness Dr, Greenville, SC 29615-5497 | 2020-10-29 |
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| Find all providers in GREENVILLE | ||||
| 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 |
|---|---|---|---|---|
| 1437673456 | 13455 Golden LLC | Skilled Nursing Facility | 13455 West Highway 90, Greenville, FL 32331 | 2017-08-01 |
| 1710348305 | Maybrook-c Whitecliff Opco LLC | Skilled Nursing Facility | 110 Fredonia Road, Greenville, PA 16125-7911 | 2016-03-10 |
| 1154792000 | East Carolina Rehab and Wellness, LLC | Skilled Nursing Facility | 2575 W 5th St, Greenville, NC 27834-7813 | 2015-10-16 |
| 1972932879 | Crosswinds Rehab | Skilled Nursing Facility | 13455 W Us Hwy 90, Greenville, FL 32331 | 2013-11-01 |
| 1427484195 | Greenville Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 117 Sycamore Street, Greenville, MO 63944-0108 | 2013-09-25 |
| 1255778064 | Providence Home Care LLC | Skilled Nursing Facility | 128 Millport Cir, Suite 200, Greenville, SC 29607-5571 | 2013-06-03 |
| 1548572894 | Patewood Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 2 Griffith Rd., Greenville, SC 29607-3503 | 2010-07-01 |
| 1952530867 | Upstate Senior Living, Inc. | Skilled Nursing Facility | 50 Arboretum Way, Greenville, SC 29617-6226 | 2009-07-13 |
| 1225276736 | 13455 Management LLC | Skilled Nursing Facility | 13455 West Us Highway 90, Greenville, FL 32331 | 2009-01-22 |
| 1285879437 | Benchmark Healthcare of Greenville, LLC | Skilled Nursing Facility | 108 Sycamore St, Greenville, MO 63944-0108 | 2008-12-02 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27585 |
Please comment or provide details below to improve the information on CYPRESS GLEN RETIREMENT COMMUNITY.
| 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.