SENIOR CARE OF GOLDSBORO, INC (NPI# 1295077105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295077105 |
| Entity Type | Organization |
| Organization Name | SENIOR CARE OF GOLDSBORO, INC |
| Practice Address |
14736 Poplar St Goldsboro MD 21636-1307 |
| Practice Telephone | 4109247360 |
| Practice Fax Number | 4104829307 |
| Mailing Telephone | 4109247360 |
| Mailing Fax Number | 4104829307 |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |
| Authorized Official Name | MRS. TAMMY MERSON (OWNER, MANAGER) |
| Authorized Official Telephone | 4109247360 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 05AL0046-A | MD | Nursing & Custodial Care Facilities |
| Street Address |
14736 POPLAR ST |
| City | GOLDSBORO |
| State | MD |
| Zip Code | 21636-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235578261 | Tammy Lynn Merson | Registered Nurse | 14736 Poplar St, Goldsboro, MD 21636-1307 | 2013-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043285208 | Patricia Jean Karnes-amzibel | Family Medicine | 316 Railroad Ave, Goldsboro, MD 21636 | 2006-02-21 |
| 1881910701 | Mary Ellen Caldwell | Dental Hygienist | 316 Railroad Ave, Goldsboro, MD 21636 | 2010-04-16 |
| 1124222369 | Thomas Griffith Duncan Jr. | Dentist | 316 Railroad Ave, Goldsboro, MD 21636 | 2007-06-12 |
| 1053538678 | Choptank Community Health System, Inc. | Clinic/Center | 316 Railroad Ave, Goldsboro, MD 21636-0122 | 2007-04-18 |
| 1659908192 | Amanda Lynn Turner | Dental Hygienist | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2020-03-25 |
| 1669943148 | Melinda Payton | Nurse Practitioner | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2018-12-10 |
| 1346737251 | Anfal Ali | Dentist | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2018-04-16 |
| 1770822348 | Peter Malcolm Stanford | Physician Assistant | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2013-02-02 |
| 1922356070 | Lindsay Michelle Freedman | Dentist | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2012-08-21 |
| 1518264415 | Yiya Zhou | Dentist | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2011-02-12 |
| Find all providers in zip 21636 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285154716 | Melissa Hinson Weaver | Assisted Living Facility | 321 Buck Swamp Rd, Goldsboro, NC 27530-8030 | 2017-06-26 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1992138895 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1800 N Berkeley Blvd, Goldsboro, NC 27534-3368 | 2013-08-14 |
| 1194931394 | Rosewood Family Care | Assisted Living Facility | 100 Perkins St, Goldsboro, NC 27530-9335 | 2007-05-15 |
| 1689886111 | Sutton's Retirement Center | Assisted Living Facility | 4258 Hwy 13 North, Goldsboro, NC 27534 | 2007-05-04 |
| 1508998295 | Emeritus Corporation | Assisted Living Facility | 380 County Day Road, Goldsboro, NC 27530 | 2007-03-09 |
| 1942364591 | The Meadows of Goldsboro | Assisted Living Facility | 2201 Royall Ave, Goldsboro, NC 27534-7409 | 2006-12-20 |
| 1538543665 | Jfc Meridian Opco Goldsboro, LLC | Assisted Living Facility | 603 Lockhaven Ct, Goldsboro, NC 27534-1770 | 2015-07-18 |
| 1154607026 | Barnes Family Care Home .inc | Assisted Living Facility | 100 Perkins St, Goldsboro, NC 27530-9335 | 2011-10-24 |
| 1285815910 | Rosewood Assisted Living | Assisted Living Facility | 100 Perkins St, Goldsboro, NC 27530-9335 | 2007-11-23 |
| Find all providers in GOLDSBORO | ||||
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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.