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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7801191 | 05 |
Other Name | Type Code |
---|---|
Pinehurst Healthcare and Rehabilitation Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205803137 | Pinehurst Nursing Center, Inc. | Skilled Nursing Facility | 300 Blake Blvd, Pinehurst, NC 28374-8474 | 2006-02-28 |
Street Address |
300 BLAKE BLVD |
City | PINEHURST |
State | NC |
Zip Code | 28374-8474 |
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 |
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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 |
Find all providers in zip 28374 |
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] |
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1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
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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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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.