BRITTHAVEN, INC. (NPI# 1144417577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144417577 |
Entity Type | Organization |
Organization Name | BRITTHAVEN, INC. |
Other Organization Name | BRITTHAVEN OF GOLDSBORO |
Practice Address |
2401 Wayne Memorial Dr Goldsboro NC 27534-1727 |
Mailing Address |
Po Box 11419 Goldsboro NC 27532-1419 |
Practice Telephone | 9197362121 |
Practice Fax Number | 9197362133 |
Mailing Telephone | 9197362121 |
Mailing Fax Number | 9197362133 |
Enumeration Date | 2007-10-01 |
Last Update Date | 2007-10-01 |
Authorized Official Name | MR. NORWOOD RANDOLPH UZZELL (PRESIDENT) |
Authorized Official Telephone | 2525239094 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NH0379 | NC | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 3406329 | 05 |
Other Name | Type Code |
---|---|
BRITTHAVEN OF GOLDSBORO | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568659993 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 1839 Onslow Dr, Jacksonville, NC 28540-5906 | 2007-10-01 |
1689861015 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 1704 Nc Highway 39 N, Louisburg, NC 27549-8329 | 2007-10-01 |
1689861569 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 128 Snow Hill Road, Ayden, NC 28513-7237 | 2007-09-25 |
1518154418 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 769 Highway 177 South, Hamlet, NC 28345-4358 | 2007-09-25 |
1093746349 | Britthaven, Inc. | Skilled Nursing Facility | 221 Summer Rest Rd, Wilmington, NC 28405-4135 | 2006-07-05 |
1508041260 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 1349 Crabtree Rd, Waynesville, NC 28785-7315 | 2007-12-31 |
1972790301 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 308 W Meadowview Rd, Greensboro, NC 27406-3610 | 2007-10-01 |
1508053935 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 3609 Bond St, Raleigh, NC 27604-3801 | 2007-10-01 |
1598952921 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 801 Greenhaven Dr, Greensboro, NC 27406-7103 | 2007-10-01 |
1316134745 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 604 Lucas Rd, Dunn, NC 28334-6623 | 2007-10-01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporation | Britthaven, Inc. | 1435 Hwy. 258 North , Kinston, NC 28501 |
Virginia Business Entity | BRITTHAVEN, INC. | 1435 HGWY 258 NORTH\\ , KINSTON, NC 28504 |
Street Address |
2401 WAYNE MEMORIAL DR |
City | GOLDSBORO |
State | NC |
Zip Code | 27534-1727 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538169065 | Robert Carl Owens | Internal Medicine | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2005-07-27 |
1528534096 | Jordan A Atkins | Speech-Language Pathologist | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2018-10-22 |
1285115220 | Sayali Ravindra More | Physical Therapist | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2018-08-28 |
1003397662 | Elissa Alexander | Speech-Language Pathologist | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2018-08-22 |
1861927790 | Susan Vermette | Clinic/Center | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2017-04-28 |
1568626059 | Jeffrey Boyette | Speech-Language Pathologist | 2401 Wayne Memorial Dr, Goldsboro, NORTH CAROLINA 27534 | 2008-07-14 |
1730348277 | Donald Wells | Physical Therapy Assistant | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2008-06-09 |
1114185592 | Gail Feurer | Physical Therapy Assistant | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2008-06-02 |
1801054614 | Emily Head Ange | Physical Therapist | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2008-05-29 |
1063679025 | Nicole Traylor Bare | Registered Nurse | 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 | 2008-05-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
Find all providers in zip 27534 |
Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194077024 | Skill Creations | Nursing Facility/Intermediate Care Facility | 2101 Royall Ave, Goldsboro, NC 27534-7408 | 2012-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841617974 | Christopher Rushmeyer | Nursing Facility/Intermediate Care Facility | 1820 Harris Houston Rd, Unit 621411, Charlotte, NC 28262-9253 | 2014-03-26 |
1306284674 | Legacy | Nursing Facility/Intermediate Care Facility | 903 W Main Street, Yadkinville, NC 27055 | 2013-06-10 |
1093066375 | Sci-east | Nursing Facility/Intermediate Care Facility | 338 Cooper St, Winterville, NC 28590-9507 | 2012-09-26 |
1053662437 | Skill Creations of Clinton | Nursing Facility/Intermediate Care Facility | 223 Forest Trail, Clinton, NC 28328-3353 | 2012-09-26 |
1821349101 | Sci-duplin House | Nursing Facility/Intermediate Care Facility | 120 Orville Street, Warsaw, NC 28398-2221 | 2012-09-26 |
1801147186 | Skill Creations of Kenansville | Nursing Facility/Intermediate Care Facility | 218 S Stokes Street, Kenansville, NC 28349-0001 | 2012-09-26 |
1750632030 | Sci-coastal House I and II | Nursing Facility/Intermediate Care Facility | 1974 W Lakeshore Drive, Wilmington, NC 28401-6856 | 2012-09-26 |
1760732994 | Sci-triangle House II | Nursing Facility/Intermediate Care Facility | 1523 Tyonek Dr, Durham, NC 27703-5639 | 2012-09-14 |
1275883498 | Skill Creations of Kinston | Nursing Facility/Intermediate Care Facility | 901 Doctors Dr, Kinston, NC 28501-1574 | 2012-09-14 |
1184974396 | Sci - Burke Icf/mr Group Home | Nursing Facility/Intermediate Care Facility | 101 Stephens Dr, Morganton, NC 28655-2937 | 2012-09-14 |
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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.