PINEHURST NURSING CENTER, INC.


Address: 300 Blake Blvd, Pinehurst, NC 28374-8474
Phone: 9102956158

PINEHURST NURSING CENTER, INC. (NPI# 1225224173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225224173
Entity Type Organization
Organization Name PINEHURST NURSING CENTER, INC.
Other Organization Name PINEHURST HEALTHCARE AND REHABILITATION CENTER
Practice Address 300 Blake Blvd
Pinehurst
NC 28374-8474
Mailing Address Po Box 5309
Pinehurst
NC 28374-5309
Practice Telephone 9102956158
Practice Fax Number 9102956783
Mailing Telephone 9102956158
Mailing Fax Number 9102956783
Enumeration Date 2007-09-24
Last Update Date 2007-09-24
Authorized Official Name MR. NICK W ELLEDGE (VICE PRESIDENT)
Authorized Official Telephone 3366798852
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
NH0294 NC Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 7801191 05

Other Provider/Organization Names

Other Name Type Code
Pinehurst Healthcare and Rehabilitation Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205803137 Pinehurst Nursing Center, Inc. Skilled Nursing Facility 300 Blake Blvd, Pinehurst, NC 28374-8474 2006-02-28

Office Location

Street Address 300 BLAKE BLVD
City PINEHURST
State NC
Zip Code 28374-8474

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205803137 Pinehurst Nursing Center, Inc. Skilled Nursing Facility 300 Blake Blvd, Pinehurst, NC 28374-8474 2006-02-28
1467007856 Liberty Healthcare Group, LLC Skilled Nursing Facility 300 Blake Blvd, Pinehurst, NC 28374-8474 2019-08-03
1881167542 Samantha D Patterson Occupational Therapist 300 Blake Blvd, Pinehurst, NC 28374-8474 2019-01-05
1093287856 Sara Hackney Criss Physical Therapist 300 Blake Blvd, Pinehurst, NC 28374-8474 2018-12-18
1396220851 Jaclyn Kay Knowlden Physical Therapy Assistant 300 Blake Blvd, Pinehurst, NC 28374-8474 2018-10-01
1255819686 Courtney C Harms Physical Therapy Assistant 300 Blake Blvd, Pinehurst, NC 28374-8474 2018-07-28
1588163422 Erin Hawley Occupational Therapist 300 Blake Blvd, Pinehurst, NC 28374-8474 2018-02-06
1124575220 Marisa Knobe Jacobs Physical Therapy Assistant 300 Blake Blvd, Pinehurst, NC 28374-8474 2016-09-06
1154777878 Allison Tucker Physical Therapist 300 Blake Blvd, Pinehurst, NC 28374-8474 2016-05-11
1679931919 Julian Scott IIi Physical Therapist 300 Blake Blvd, Pinehurst, NC 28374-8474 2016-02-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841855160 Ashley Nicole Jimenez Registered Nurse 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 2019-05-02
1063076552 Lesley Anne Pritchard Physician Assistant 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 2019-04-30
1477003697 Whitney Byrd Franco Counselor 325 Page Rd Bldg 3, Pinehurst, NC 28374 2016-10-12
1649678715 Laura Davies Counselor 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 2014-12-05
1942611280 Ann Marie Toebes Richards Family Medicine 150 Ivey Lane, Suite B, Pinehurst, NC 28374 2014-05-08
1912328329 Rebekah Thomas Wood Behavioral Analyst 350 Diamondhead Dr S, Pinehurst, NC 28374 2014-01-02
1558643015 Michael A Rohrer Prosthetist 95 Aviemore Drive, Pinehurst, NC 28374 2011-09-12
1861799199 Quality Care Pharmacy of The Sandhills Pharmacy 65 Parker Lane, Pinehurst, NC 28374 2011-02-23
1750681185 Robin G Cummings Thoracic Surgery (Cardiothoracic Vascular Surgery) 360 Tall Timbers Drive, Pinehurst, NC 28374 2010-11-02
1942523402 Laura Schramm Kuzma Counselor 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 2010-03-11
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City PINEHURST
Zip Code 28374

Improve Information

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Dataset Information

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.

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