AVANTE AT CONCORD, INC. (NPI# 1174608194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174608194 |
| Entity Type | Organization |
| Organization Name | AVANTE AT CONCORD, INC. |
| Practice Address |
515 Lake Concord Rd Ne Concord NC 28025-2925 |
| Mailing Address |
4000 Hollywood Blvd Suite 540 North Hollywood FL 33021-6751 |
| Practice Telephone | 7047844494 |
| Practice Fax Number | 7047849669 |
| Mailing Telephone | 9549877180 |
| Mailing Fax Number | 9549895287 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-06-03 |
| Authorized Official Name | MR. DEAN J DICKMANN (PRESIDENT) |
| Authorized Official Telephone | 9859877180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | NH0179 | NC | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | NH0179 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3416003 | 05 | |
| NC | 3415130 | 05 |
| Street Address |
515 LAKE CONCORD RD NE |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871143305 | Accordius Health At Concord LLC | Respite Care | 515 Lake Concord Rd Ne, Concord, NC 28025-2925 | 2019-09-17 |
| 1144718230 | Curis At Concord Opco LLC | Skilled Nursing Facility | 515 Lake Concord Rd Ne, Concord, NC 28025 | 2018-04-25 |
| 1023519451 | Katarzyna Anna Qutermous | Registered Nurse | 515 Lake Concord Rd Ne, Concord, NC 28025-2925 | 2018-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| 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 |
|---|---|---|---|---|
| 1558737940 | Concord Village Skilled Nursing & Rehabilitation, Ltd | Skilled Nursing Facility | 10955 Capital Parkway, Concord, OH 44077 | 2015-08-19 |
| 1568593473 | Windsor Convalescent and Rehab Center of Concord, LLC | Skilled Nursing Facility | 3806 Clayton Rd, Concord, CA 94521-2516 | 2007-03-09 |
| 1699840231 | Willow Pass Health Care Center, Inc. | Skilled Nursing Facility | 3318 Willow Pass Rd, Concord, CA 94519-2316 | 2006-11-21 |
| 1932129731 | Bayberry Care Center, LLC | Skilled Nursing Facility | 1800 Adobe St, Concord, CA 94520-2313 | 2006-07-21 |
| 1821039678 | The Stonebrook Convalescent Center, Inc. | Skilled Nursing Facility | 4367 Concord Blvd, Concord, CA 94521-1145 | 2006-06-10 |
| 1295782597 | Mckerley Health Care Centers, Inc | Skilled Nursing Facility | 20 Maitland St, Concord, NH 03301-3534 | 2006-05-30 |
| 1942279609 | Universal Health Care Concord, Inc | Skilled Nursing Facility | 430 Brookwood Ave Ne, Concord, NC 28025-2566 | 2006-03-15 |
| 1528055019 | New England Deaconess Association | Skilled Nursing Facility | 80 Deaconess Rd, Concord, MA 01742-4113 | 2005-09-30 |
| 1295734911 | 57 Old Road To Nine Acre Corner Operating Company, LLC | Skilled Nursing Facility | 57 Old Road To 9 Acre Corner, Concord, MA 01742 | 2005-07-14 |
| 1144718230 | Curis At Concord Opco LLC | Skilled Nursing Facility | 515 Lake Concord Rd Ne, Concord, NC 28025 | 2018-04-25 |
| Find all providers in CONCORD | ||||
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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.