CAYLEE PLACE (NPI# 1306199617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306199617 |
| Entity Type | Organization |
| Organization Name | CAYLEE PLACE |
| Practice Address |
538 Warriner St Reidsville NC 27320-3053 |
| Mailing Address |
Po Box 2361 Reidsville NC 27323-2361 |
| Practice Telephone | 3363944403 |
| Practice Fax Number | 3363424473 |
| Mailing Telephone | 3363493610 |
| Mailing Fax Number | 3363424473 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |
| Authorized Official Name | MS. CHRISTY LAVERNE GWYNN (ADMINISTRATOR) |
| Authorized Official Telephone | 3363493610 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRACESON MANOR ADULT CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | FCL-079-091 | NC | Nursing & Custodial Care Facilities |
| Street Address |
538 WARRINER ST |
| City | REIDSVILLE |
| State | NC |
| Zip Code | 27320-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073667226 | Jacqueline Wilson Martin | Lodging | 538 Warriner St, Reidsville, NC 27320-3053 | 2007-01-23 |
| 1821308800 | Ashlee Place Adult Care | Assisted Living Facility | 538 Warriner St, Reidsville, NC 27320-3053 | 2010-10-08 |
| 1023276110 | Ashley Place | Assisted Living Facility | 538 Warriner St, Reidsville, NC 27320-3053 | 2008-05-27 |
| 1538382684 | Ashley's Place | Assisted Living Facility | 538 Warriner St, Reidsville, NC 27320-3053 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1548687064 | Angel Allen | Skilled Nursing Facility | 255 Penn Lake Dr, Reidsville, NC 27320 | 2014-03-21 |
| 1801234844 | Remmsco | Substance Abuse Rehabilitation Facility | 106 N. Franklin St, Reidsville, NC 27320 | 2013-06-12 |
| 1861733669 | The Free Clinic of Rockingham County, Inc | Clinic/Center | 315 S. Main Street, Reidsville, NC 27320 | 2013-03-05 |
| 1396094173 | Helen Elizabeth Brooks | Nurse Practitioner | 502 South Scales Street, Reidsville, NC 27320 | 2012-09-07 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1558638536 | Tracey Caroline Cook | Pharmacist | 1623 Way, Reidsville, NC 27320 | 2011-11-19 |
| Find all providers in zip 27320 | ||||
| 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 |
|---|---|---|---|---|
| 1538405626 | Abundance of Faith X 5 | Assisted Living Facility | 301 Wentworth St, Reidsville, NC 27320-2231 | 2012-12-18 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1639440373 | Lawson's Family Care #3 | Assisted Living Facility | 5860 Us 29 Bus, Reidsville, NC 27320-8973 | 2012-01-25 |
| 1699957407 | Ellison's Family Care Home | Assisted Living Facility | 372 Candy Creek Rd, Reidsville, NC 27320-1626 | 2007-12-04 |
| 1427239607 | Lawsons Family Care #3 | Assisted Living Facility | 5872 Us 29 Bus, Reidsville, NC 27320-8973 | 2007-11-16 |
| 1659596575 | Ellison's Family Care Home3 | Assisted Living Facility | 31 Alex Poteat Rd, Reidsville, NC 27320-9741 | 2007-04-16 |
| 1639394539 | Ellison's Family Care Home #2 | Assisted Living Facility | 1116 Lawsonville Ave, Reidsville, NC 27320-4112 | 2007-04-16 |
| 1972633519 | Beverly Rucker Family Care Home #6 | Assisted Living Facility | 6878 Nc 150, Reidsville, NC 27320-0269 | 2007-03-06 |
| 1477683084 | Beverly Rucker Family Care Home #4 | Assisted Living Facility | 723 Frank Rd, Reidsville, NC 27320-8699 | 2007-03-06 |
| 1558491159 | Beverly Rucker Family Care Home #2 | Assisted Living Facility | 503 Ne Market St, Reidsville, NC 27320-3015 | 2007-03-06 |
| Find all providers in REIDSVILLE | ||||
| City | REIDSVILLE |
| Zip Code | 27320 |
Please comment or provide details below to improve the information on CAYLEE PLACE.
| 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.