SILVER BLUFF LLC (NPI# 1093708497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093708497 |
| Entity Type | Organization |
| Organization Name | SILVER BLUFF LLC |
| Practice Address |
100 Silver Bluff Dr Canton NC 28716-6350 |
| Practice Telephone | 8286482044 |
| Practice Fax Number | 8286482065 |
| Mailing Telephone | 8286482044 |
| Mailing Fax Number | 8286482065 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2011-04-15 |
| Authorized Official Name | MR. BOBBY N LEATHERWOOD (ADMINISTRATOR) |
| Authorized Official Telephone | 8286482044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0458 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3406458 | 05 | |
| NC | 3405341 | 05 |
| Street Address |
100 SILVER BLUFF DR |
| City | CANTON |
| State | NC |
| Zip Code | 28716-6350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407497399 | Anthony Bennett | Physical Therapy Assistant | 100 Silver Bluff Dr, Canton, NC 28716-6350 | 2019-10-02 |
| 1053965228 | Courtney Ann Maloney | Occupational Therapist | 100 Silver Bluff Dr, Canton, NC 28716-6350 | 2019-07-26 |
| 1174189005 | Leigh Gamble | Occupational Therapy Assistant | 100 Silver Bluff Dr, Canton, NC 28716-6350 | 2019-05-16 |
| 1689151839 | Anne Davenport | Physical Therapist | 100 Silver Bluff Dr, Canton, NC 28716-6350 | 2018-07-20 |
| 1356868798 | Chandi Gilbertson | Occupational Therapy Assistant | 100 Silver Bluff Dr, Canton, NC 28716-6350 | 2017-08-25 |
| 1487177556 | Kristine Marie Johnson | Occupational Therapy Assistant | 100 Silver Bluff Dr, Canton, NC 28716-6350 | 2017-07-20 |
| 1629506340 | Catherine Thompson | Occupational Therapy Assistant | 100 Silver Bluff Dr, Canton, NC 28716-6350 | 2017-05-25 |
| 1124554795 | Hali Reavis | Occupational Therapy Assistant | 100 Silver Bluff Dr, Canton, NC 28716-6350 | 2017-05-02 |
| 1932659612 | Patrick Sullivan | Physical Therapy Assistant | 100 Silver Bluff Dr, Canton, NC 28716-6350 | 2016-10-06 |
| 1366995920 | Beverly Miller | Occupational Therapy Assistant | 100 Silver Bluff Dr, Canton, NC 28716-6350 | 2016-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699174987 | Ryan Scott Buchanan | Counselor | 118 Main St Fl 2, Canton, NC 28716 | 2014-08-22 |
| 1164689766 | Ann Davis Rest Home | Assisted Living Facility | 460 Beaverdam St, Canton, NC 28716 | 2008-05-21 |
| 1306991799 | William Courtenay Dinwiddie Jr. | Family Medicine | 55 Buckeye Cove Road, Canton, NC 28716 | 2007-01-24 |
| 1922175355 | Charles Richard Panther | Social Worker | 30 Pennsylvania Ave, Canton, NC 28716 | 2006-11-29 |
| 1932114881 | Ingles Markets Inc | Pharmacy | 630 Champion Dr, Canton, NC 28716-3032 | 2006-07-29 |
| 1083123608 | Ariana Debussey | Pharmacist | 630 Champion Dr, Canton, NC 28716-3032 | 2017-09-26 |
| 1346580040 | Frank Cecil Etier Sr. | Pharmacist | 630 Champion Dr, Canton, NC 28716-3032 | 2013-02-18 |
| 1346588431 | Anna Maria Apostolopoulos | Pharmacist | 630 Champion Dr, Canton, NC 28716-3032 | 2013-01-23 |
| 1003171034 | Kelsie Paige Ormsby | Pharmacist | 630 Champion Dr, Canton, NC 28716-3032 | 2012-07-05 |
| 1851568372 | Sandra Y Wyche | Pharmacist | 630 Champion Dr, Canton, NC 28716-3032 | 2008-05-14 |
| Find all providers in zip 28716 | ||||
| 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 |
|---|---|---|---|---|
| 1700370640 | 3660 Greentree Leasing, LLC | Skilled Nursing Facility | 3660 Greentree Ave Sw, Canton, OH 44706-4024 | 2018-06-14 |
| 1851881825 | House of Loreto for Senior Citizens | Skilled Nursing Facility | 2812 Harvard Ave Nw, Canton, OH 44709-3155 | 2018-05-15 |
| 1316491905 | The Lodge At New Dawn, Inc. | Skilled Nursing Facility | 3660 Greentree Avenue, Sw, Canton, OH 44706-4024 | 2016-08-11 |
| 1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
| 1336532522 | Newton Healthcare Center | Skilled Nursing Facility | 14 Capen Pl, Canton, MA 02021-3648 | 2015-03-11 |
| 1417255233 | Dallas County Hospital District | Skilled Nursing Facility | 1901 S Trade Days Blvd, Canton, TX 75103 | 2011-03-02 |
| 1508987272 | Ssc Canton Operating Company LLC | Skilled Nursing Facility | 150 Hospital Cir, Canton, GA 30114-3209 | 2007-04-02 |
| 1750431391 | Madison County Nursing Home | Skilled Nursing Facility | 1421a E Peace St, Canton, MS 39046-4938 | 2007-01-12 |
| 1225101819 | Amicus Health Care Services, Inc. | Skilled Nursing Facility | 2026 Vzcr 2205, Canton, TX 75103 | 2006-11-15 |
| 1306917869 | Canton Care, LLC | Skilled Nursing Facility | 2714 13th St Nw, Canton, OH 44708-3121 | 2006-11-13 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on SILVER BLUFF LLC.
| 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.