VILLAGE GREEN HEALTH AND REHABILITATION, LLC (NPI# 1134660103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134660103 |
| Entity Type | Organization |
| Organization Name | VILLAGE GREEN HEALTH AND REHABILITATION, LLC |
| Other Organization Name | VILLAGE GREEN HEALTH AND REHABILITATION |
| Practice Address |
1601 Purdue Dr Fayetteville NC 28304-3674 |
| Mailing Address |
229 Airport Rd Suite 7-104 Arden NC 28704-6402 |
| Practice Telephone | 9104865000 |
| Practice Fax Number | 9104856388 |
| Mailing Telephone | 9196089123 |
| Mailing Fax Number | 9198829771 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |
| Authorized Official Name | MR. CHRISTOPHER JOHN SPRENGER (MANAGER) |
| Authorized Official Telephone | 9196089123 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0502 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3405380 | 05 |
| Other Name | Type Code |
|---|---|
| Village Green Health and Rehabilitation | Doing Business As Name - Organization |
| Street Address |
1601 PURDUE DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659367480 | Rehabilitation and Health Care Center At Village Green | Skilled Nursing Facility | 1601 Purdue Dr, Fayetteville, NC 28304-3674 | 2005-09-27 |
| 1952678229 | Deborah Ann Rhoton | Physical Therapy Assistant | 1601 Purdue Dr, Fayetteville, NC 28304-3674 | 2011-11-30 |
| 1346522570 | Lynne Marie Mcdonough | Physical Therapist | 1601 Purdue Dr, Fayetteville, NC 28304-3674 | 2011-09-14 |
| 1942599428 | Jeryl Robin Caldwell | Physical Therapy Assistant | 1601 Purdue Dr, Fayetteville, NC 28304-3674 | 2011-04-05 |
| 1396052395 | Andrea West Tatman | Speech-Language Pathologist | 1601 Purdue Dr, Fayetteville, NC 28304-3674 | 2010-09-12 |
| 1154658144 | Ravin S Dehring | Occupational Therapy Assistant | 1601 Purdue Dr, Fayetteville, NC 28304-3674 | 2009-11-11 |
| 1437482536 | Linda Greene | Physical Therapy Assistant | 1601 Purdue Dr, Fayetteville, NC 28304-3674 | 2009-09-08 |
| 1114158318 | Lori Brittain Holden | Occupational Therapy Assistant | 1601 Purdue Dr, Fayetteville, NC 28304-3674 | 2009-08-05 |
| 1336382951 | Marihelen Orchard | Occupational Therapy Assistant | 1601 Purdue Dr, Fayetteville, NC 28304-3674 | 2009-04-13 |
| 1316183411 | Evelyn Denise Blue | Physical Therapy Assistant | 1601 Purdue Dr, Fayetteville, NC 28304-3674 | 2008-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| 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 |
|---|---|---|---|---|
| 1831625037 | Supplemental Healthcare | Skilled Nursing Facility | 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 | 2017-05-08 |
| 1659764447 | Kathleen Mason | Skilled Nursing Facility | 13 Lorelei Dr, Fayetteville, OH 45118-8404 | 2015-03-18 |
| 1083917413 | Autumn Corporation | Skilled Nursing Facility | 1401 71st School Rd, Fayetteville, NC 28314-2814 | 2010-12-07 |
| 1194044941 | Wcnc, Inc. | Skilled Nursing Facility | 4405 Persimmon Street, Fayetteville, AR 72704 | 2010-05-19 |
| 1962674796 | Tison Speech Therapy Services | Skilled Nursing Facility | 1387 N Bernice Dr, Fayetteville, AR 72703-6086 | 2008-04-01 |
| 1851443022 | Washington Regional Medicorp, Inc. | Skilled Nursing Facility | 221 S School Ave, Fayetteville, AR 72701-5969 | 2007-01-17 |
| 1871659730 | Fayette Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | 100 Hresan Blvd, Fayetteville, WV 25840-1333 | 2006-12-28 |
| 1740368612 | Lafayette Health Care Center, Inc. | Skilled Nursing Facility | 110 Brandywine Blvd, Fayetteville, GA 30214-1500 | 2006-11-01 |
| 1417052895 | State of Arkansas | Skilled Nursing Facility | 1179 N. College Avenue, Fayetteville, AR 72703 | 2006-09-13 |
| 1699886085 | Highland House of Fayetteville, Inc | Skilled Nursing Facility | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2006-08-31 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.