LESLIE EVELYN TODD OAK GROVE FAMILY CARE (NPI# 1073796264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073796264 |
| Entity Type | Organization |
| Organization Name | LESLIE EVELYN TODD OAK GROVE FAMILY CARE |
| Other Organization Name | OAK GROVE FAMILY CARE |
| Practice Address |
583 Sassafras Rd Route 4 Box 271 Bladenboro NC 28320-5925 |
| Mailing Address |
583 Sassafras Rd Bladenboro NC 28320-5925 |
| Practice Telephone | 9106482176 |
| Practice Fax Number | 9106485785 |
| Mailing Telephone | 9106482176 |
| Mailing Fax Number | 9106485785 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | ANDREA CALLIHAN DOVE (ADMINISTRATOR) |
| Authorized Official Telephone | 9106482176 |
| Authorized Official Credential | ADMINISTRATOR, L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | FCL-009-008 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7802347 | 05 |
| Other Name | Type Code |
|---|---|
| oak grove family care | Other Name - Individual/Organization |
| Street Address |
583 SASSAFRAS RD ROUTE 4 BOX 271 |
| City | BLADENBORO |
| State | NC |
| Zip Code | 28320-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710161120 | Oak Grove Family Care Home | Clinic/Center | 583 Sassafras Rd, Bladenboro, NC 28320-5925 | 2007-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295399343 | Total Renal Care of North Carolina, LLC | Clinic/Center | 219 Martin Luther King Jr Dr, Bladenboro, NC 28320 | 2019-04-24 |
| 1558721217 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 106 4th St, Bladenboro, NC 28320 | 2016-02-24 |
| 1174877153 | Iesha Shonta Bell | Social Worker | 803 South Main Street, Bladenboro, NC 28320 | 2012-10-30 |
| 1609149053 | Turner's Family Care Home | Assisted Living Facility | 208 Whiteville Road, Bladenboro, NC 28320 | 2012-02-15 |
| 1265738157 | West Bladen Assisted Living, LLC | Custodial Care Facility | 714 Bladen Street, Bladenboro, NC 28320 | 2011-02-10 |
| 1316105042 | Gate Way Health Care Associates LLC | Case Management | 201 Martin Luther King Dr, Bladenboro, NC 28320 | 2008-05-29 |
| 1255506861 | Christopher Clark Dds Pa | Dentist | 104 Fourth St, Bladenboro, NC 28320 | 2008-04-24 |
| 1164609756 | Donald Benton Helms | Eyewear Supplier (Equipment, not the service) | 102 Fourth Street, Bladenboro, NC 28320 | 2008-01-25 |
| 1366624371 | Glencare of Bladenboro | Assisted Living Facility | 714 East Bladen Street, Bladenboro, NC 28320 | 2007-11-30 |
| 1801005467 | Xuan Kim Tran | Dentist | 104 4th Street, Bladenboro, NC 28320 | 2007-05-21 |
| Find all providers in zip 28320 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376089714 | Kelly Turner | Assisted Living Facility | 2105 Nc 410 Hwy, Bladenboro, NC 28320-8053 | 2017-01-09 |
| 1609149053 | Turner's Family Care Home | Assisted Living Facility | 208 Whiteville Road, Bladenboro, NC 28320 | 2012-02-15 |
| 1366624371 | Glencare of Bladenboro | Assisted Living Facility | 714 East Bladen Street, Bladenboro, NC 28320 | 2007-11-30 |
| 1215091780 | The Meadows of Hermitage Inc | Assisted Living Facility | 714 E Bladen St, Bladenboro, NC 28320-0669 | 2006-12-20 |
| 1821534074 | Turner's Family Care Home, LLC | Assisted Living Facility | 2105 Nc 410 Hwy, Bladenboro, NC 28320-8053 | 2017-01-12 |
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|---|---|---|---|---|
| 1629689104 | B&b Assisted Living Care LLC | Assisted Living Facility | 9461 Us Hwy 710s, Rowland, NC 28383 | 2020-08-10 |
| 1306465745 | Cedar Senior Living, LLC. | Assisted Living Facility | 670 Cedar Lake Ln, Clinton, NC 28328-8986 | 2020-04-15 |
| 1003444258 | Trinity Developmental Center, LLC | Assisted Living Facility | 4027 Franklin Meadows Dr, Matthews, NC 28105-6935 | 2020-03-31 |
| 1114562147 | Taylor Care Group, LLC | Assisted Living Facility | 1188 Bertha Wilson Rd, Blanch, NC 27212-9795 | 2019-11-13 |
| 1710528377 | Grace Village Inc | Assisted Living Facility | 501 River Bend Dr., Granite Falls, NC 28630 | 2019-10-04 |
| 1336799246 | Tieshquanna Ciare Richardson | Assisted Living Facility | 312 Kilgo St, Clayton, NC 27520-1651 | 2019-09-13 |
| 1326695404 | Snh Nc Tenant LLC | Assisted Living Facility | 5920 Mcchesney Dr, Charlotte, NC 28269-6238 | 2019-08-22 |
| 1659928174 | Coastal Pointe Senior Living LLC | Assisted Living Facility | 5220 Ocean Hwy W, Shallotte, NC 28470-4006 | 2019-08-20 |
| 1861046674 | A1a-arc of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd, Dunn, NC 28334-6240 | 2019-07-30 |
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
| City | BLADENBORO |
| Zip Code | 28320 |
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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.