SWIFT CREEK RESIDENTIAL CARE (NPI# 1306041165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306041165 |
Entity Type | Organization |
Organization Name | SWIFT CREEK RESIDENTIAL CARE |
Practice Address |
5003 Yates Mill Pond Rd Raleigh NC 27606-8905 |
Practice Telephone | 9192330576 |
Mailing Telephone | 9192330576 |
Enumeration Date | 2007-06-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. EDYTHE JAMES-MCMILLAN (OWNER-) |
Authorized Official Telephone | 9192330576 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | FCL-092033 | NC | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 11 | 05 |
Street Address |
5003 YATES MILL POND RD |
City | RALEIGH |
State | NC |
Zip Code | 27606-8905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831716703 | Bright Chukwemeka Igwe | Counselor | 4909 Waters Edge Drive Suite 203, 4909 Waters Edge Dr. Suite 203, Raleigh, NC 27606 | 2020-06-26 |
1083250831 | The Lee Way Therapy & Consulting, Pllc | Social Worker | 4909 Waters Edge Dr., Suite 200a, Raleigh, NC 27606 | 2019-11-26 |
1811455488 | Inimfon E Ubom | Student in an Organized Health Care Education/Training Program | 521 The Greens Cir Apt 242, Raleigh, NC 27606 | 2019-03-03 |
1326550658 | Care Advantage-north Carolina LLC | Registered Nurse | 3231 Avent Ferry Rd Ste 103, Raleigh, NC 27606 | 2017-10-26 |
1801348891 | John Riel Manalansan Garcia | Specialist/Technologist | 2411 Dunn Ave, Raleigh, NC 27606 | 2016-10-26 |
1134599889 | Klingensmith & Associates, Pllc | Dentist | 1009 Capability Dr., Bldg. II. Ste 100, Raleigh, NC 27606 | 2015-10-06 |
1487038626 | Turning Leaf Therapy Services, Pllc | Social Worker | 4909 Waters Edge Drive 200d, Raleigh, NC 27606 | 2015-07-17 |
1528448743 | Ashley Francis Wright | Counselor | 1601 Jones Franklin Road, Suite 104, Raleigh, NC 27606 | 2015-06-03 |
1598172645 | Amalya Kali Wright | Emergency Medical Technician, Basic | 5315 Dana Dr Apt F, Raleigh, NC 27606 | 2014-07-21 |
1710312566 | Deirdre Rushin | Counselor | 1821 Avent Ridge Rd, Apt 104, Raleigh, NC 27606 | 2013-09-12 |
Find all providers in zip 27606 |
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 |
---|---|---|---|---|
1871064832 | Rosie's Care Home Inc | Assisted Living Facility | 3604 Neuse Estates Dr, Raleigh, NC 27604-6071 | 2018-12-16 |
1831668482 | Hcp Raleigh Nc Opco, LLC | Assisted Living Facility | 4801 Edward Mills Rd., Raleigh, NC 27612-4417 | 2018-11-13 |
1235373606 | Dana Jackson Barnes | Assisted Living Facility | 1616 Riverknoll Dr, Raleigh, NC 27610-4580 | 2009-04-28 |
1124262050 | A Good Life Family Care Home | Assisted Living Facility | 4013 Tryon Rd, Raleigh, NC 27606-4209 | 2009-04-22 |
1801065602 | Twenty Pack Management Corp. | Assisted Living Facility | 4801 Edwards Mill Rd, Raleigh, NC 27612-4417 | 2008-02-26 |
1841412988 | Falls River Court Memory Care, LLC | Assisted Living Facility | 1130 Alls River Avenue, Raleigh, NC 27614 | 2007-05-02 |
1669694709 | Falls River Village Assisted Living, LLC | Assisted Living Facility | 1110 Falls River Avenue, Raleigh, NC 27614 | 2007-05-02 |
1124245345 | Helms Cottage # 1 | Assisted Living Facility | 1313 Athens Dr, Raleigh, NC 27606-2424 | 2007-04-19 |
1336270958 | Lees Long Term Care Facility Inc. | Assisted Living Facility | 7133 Rock Service Station Rd, Raleigh, NC 27603-8307 | 2007-03-07 |
1316091218 | Szr North Hills, LLC | Assisted Living Facility | 615 Spring Forest Rd, Raleigh, NC 27609-9150 | 2007-01-22 |
Find all providers in RALEIGH |
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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.