INTEGRITY - PATRIOT LIVING, LLC (NPI# 1215440813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215440813 |
| Entity Type | Organization |
| Organization Name | INTEGRITY - PATRIOT LIVING, LLC |
| Other Organization Name | PATRIOT LIVING OF YADKINVILLE |
| Practice Address |
409 Harrison Ave Yadkinville NC 27055-8248 |
| Mailing Address |
3053 S Church St Burlington NC 27215-5154 |
| Practice Telephone | 3366771086 |
| Mailing Telephone | 3364381383 |
| Mailing Fax Number | 3364381387 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |
| Authorized Official Name | JONATHAN S SHORT (CFO) |
| Authorized Official Telephone | 3364381381 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Patriot Living of Yadkinville | Doing Business As Name - Organization |
| Street Address |
409 HARRISON AVE |
| City | YADKINVILLE |
| State | NC |
| Zip Code | 27055-8248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841444783 | Johnson Enterprises of Shelby Inc | Assisted Living Facility | 409 Harrison Ave, Yadkinville, NC 28705 | 2008-11-05 |
| 1366849382 | Healthcare Essentials South, LLC | Durable Medical Equipment & Medical Supplies | 409 Harrison Ave, Yadkinville, NC 27055-8248 | 2014-11-20 |
| 1720368095 | Devcore Adult Care, LLC | Assisted Living Facility | 409 Harrison Ave, Yadkinville, NC 27055-8248 | 2011-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972011484 | Children's Center of Surry, Inc. | Community/Behavioral Health | 117 S Jackson St, Yadkinville, NC 27055 | 2018-01-18 |
| 1548651128 | Express Care of Yadkin LLC | Nurse Practitioner | 755 South State Street, Yadkinville, NC 27055 | 2015-02-18 |
| 1437579331 | Sarah Noe | Nurse Practitioner | 129 W Main Street, Yadkinville, NC 27055 | 2014-04-18 |
| 1306284674 | Legacy | Nursing Facility/Intermediate Care Facility | 903 W Main Street, Yadkinville, NC 27055 | 2013-06-10 |
| 1730433731 | Healthstat- Unifi Yadkinville Plant 5 | Preventive Medicine | 1032 Unifi Industrial Rd., Yadkinville, NC 27055 | 2012-10-30 |
| 1891012126 | The Center-a Strategic Interventions Facility | Community/Behavioral Health | 1012 Glenway Dr, Yadkinville, NC 27055 | 2010-04-27 |
| 1316152143 | Yadkin County Council On Aging, Inc. | Health Maintenance Organization | 108 E Elm Steet, Yadkinville, NC 27055 | 2007-05-14 |
| 1063633741 | Susan L Sawyers | Counselor | Hoots Memorial Hospital, 624 W. Main Street, Yadkinville, NC 27055 | 2007-05-01 |
| 1912026576 | Yadkin County Dss | Case Management | 205 E. Main St, Yadkinville, NC 27055 | 2007-03-28 |
| 1992824429 | Health Services Unlimited Inc. | Home Health | 105 S Jackson St, Yadkinville, NC 27055 | 2007-03-28 |
| Find all providers in zip 27055 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740315837 | Pinebrook Residential Center 2 | Custodial Care Facility | 244 Harrison Ave, Yadkinville, NC 27055-8246 | 2007-02-22 |
| 1184769317 | Pinebrook Residential Center 1 | Custodial Care Facility | 312 Harrison Ave, Yadkinville, NC 27055-8247 | 2007-02-21 |
| 1518505247 | Integrity-carolina Pines, LLC | Custodial Care Facility | 312 Harrison Ave, Yadkinville, NC 27055-8247 | 2019-12-12 |
| 1174590608 | Yadkin Nursing Care Center, Inc. | Custodial Care Facility | 903 W Main St, Yadkinville, NC 27055-7807 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
| City | YADKINVILLE |
| Zip Code | 27055 |
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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.