LIFEBRITE HOSPITAL GROUP OF STOKES, LLC (NPI# 1104369081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104369081 |
Entity Type | Organization |
Organization Name | LIFEBRITE HOSPITAL GROUP OF STOKES, LLC |
Other Organization Name | LIFEBRITE PEDIATRIC CLINIC OF DANBURY |
Practice Address |
1030 Hospice Dr Danbury NC 27016-7379 |
Practice Telephone | 3365935354 |
Practice Fax Number | 3365935331 |
Mailing Telephone | 3365935354 |
Mailing Fax Number | 3365935331 |
Enumeration Date | 2016-11-28 |
Last Update Date | 2017-03-22 |
Authorized Official Name | MR. CHRISTIAN FLETCHER (CEO) |
Authorized Official Telephone | 3365935311 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | HOSPITAL LICENSURE | H0165 | 01 |
NC | MEDICARE PART B PTAN | G557 | 01 |
Other Name | Type Code |
---|---|
LifeBrite Pediatric Clinic of Danbury | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346775285 | Lifebrite Hospital Group of Stokes, LLC | Clinic/Center | 3853 Us 311 Hwy N, Pine Hall, NC 27042-8184 | 2017-04-28 |
1427597913 | Lifebrite Hospital Group of Stokes, LLC | Clinic/Center | 167 Moore Rd, King, NC 27021-8770 | 2017-02-16 |
1053854653 | Lifebrite Hospital Group of Stokes, LLC | Medicare Defined Swing Bed Unit | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2016-11-30 |
1396288999 | Lifebrite Hospital Group of Stokes, LLC | General Acute Care Hospital | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2016-11-30 |
1831632645 | Lifebrite Hospital Group of Stokes, LLC | Pharmacy | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2016-11-28 |
1649713462 | Lifebrite Hospital Group of Stokes, LLC | Clinic/Center | 167 Moore Rd, King, NC 27021-8770 | 2016-11-28 |
1629511597 | Lifebrite Hospital Group of Stokes, LLC | Skilled Nursing Facility | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2016-11-28 |
1609319490 | Lifebrite Hospital Group of Stokes, LLC | Clinic/Center | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2016-11-28 |
1841733714 | Lifebrite Hospital Group of Stokes, LLC | Clinic/Center | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2016-11-28 |
1295278174 | Lifebrite Hospital Group of Stokes, LLC | General Acute Care Hospital | 167 Moore Rd, King, NC 27021-8770 | 2016-11-28 |
Street Address |
1030 HOSPICE DR |
City | DANBURY |
State | NC |
Zip Code | 27016-7379 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942293295 | Lucy B Downey-smith | Pediatrics | 1030 Hospice Dr, Danbury, NC 27016-7379 | 2005-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740663376 | Rodney Grant Dunford | Physical Therapist | 1570 Nc 8&89 Highway North, Danbury, NC 27016 | 2015-07-01 |
1548643323 | Jeffrey Leonard Read | Community Health Worker | 1570 N. Carolina Rt 8 and N. Carolina Rt 89, Danbury, NC 27016 | 2015-06-30 |
1922282789 | Stokes Reynolds Memorial Hospital, Inc. | Clinic/Center | 1020 Hospice Dr., Danbury, NC 27016 | 2007-12-28 |
1093910861 | John Campbell Hines | Counselor | 1570 Nc 8 & 89 Hwy N, Danbury, NC 27016 | 2007-06-20 |
1023170826 | Roswell Tempest Lowry | Emergency Medicine | Stokes-reynolds Memorial Hospital, Nc Hwy 8 & 89 N, Danbury, NC 27016 | 2006-12-15 |
1588686646 | Stokes Count Schools | Local Education Agency (LEA) | 501 N. Main St., Danbury, NC 27016 | 2006-07-24 |
1144221078 | Stokes Reynolds Memorial Hospital, Inc. | Hospice Care, Community Based | 1570 Highway 8 & 89 N, Danbury, NC 27016 | 2005-08-02 |
1225542376 | Enduracare Acute Care Services LLC | Clinic/Center | 1570 Hwy 8 and 89 North, Danbury, NC 27016 | 2017-11-28 |
1003135237 | Demera Jamie Hale | Dietitian, Registered | 1009 Main Street, Danbury, NC 27016 | 2010-05-27 |
1912294687 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 1020 Hospice Drive, Danbury, NC 27016-0000 | 2011-07-01 |
Find all providers in zip 27016 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578826814 | Poonam Aneel Bherwani | Pediatrics | 107 Newtown Rd Ste 1d, Danbury, CT 06810-4151 | 2012-06-21 |
1437330644 | Stokes Reynolds Memorial Hospital, Inc. | Pediatrics | 1030 Hospice Drive, Danbury, NC 27016-1030 | 2007-11-15 |
1215120431 | Childcare Associates | Pediatrics | 83 Sand Pit Road, Danbury, CT 06810-5927 | 2007-08-21 |
1265553366 | L. Robert Rubin | Pediatrics | 16 Ohehyahtah Pl, Danbury, CT 06810-7668 | 2007-04-03 |
1346258191 | Humberto Pedro Bauta | Pediatrics | 70 Main Street, Danbury, CT 06810 | 2006-08-04 |
1902836976 | Jacques Edouard Etienne | Pediatrics | 205 Main St. 1st Fl, Optimum Medical LLC, Danbury, CT 06810 | 2006-07-04 |
1700838299 | Pamela Ann Paulhus | Pediatrics | 93 West St, Danbury, CT 06810-6525 | 2006-05-16 |
1538140850 | Rachel R Rothschild | Pediatrics | 41 Germantown Rd, Danbury, CT 06810 | 2005-11-14 |
1942293295 | Lucy B Downey-smith | Pediatrics | 1030 Hospice Dr, Danbury, NC 27016-7379 | 2005-08-23 |
1669815114 | Maryam Azizi | Pediatrics | 107 Newtown Rd, Danbury, CT 06810-4146 | 2013-04-15 |
Find all providers in DANBURY |
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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.