WATERMARK HOME CARE OF NORTH CAROLINA (NPI# 1346647872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346647872 |
| Entity Type | Organization |
| Organization Name | WATERMARK HOME CARE OF NORTH CAROLINA |
| Other Organization Name | WATERMARK AT HOME |
| Practice Address |
200 Trade St Tarboro NC 27886-5055 |
| Mailing Address |
2020 W Rudasill Rd Tucson AZ 85704-7800 |
| Practice Telephone | 2528232799 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | DAVID BARNES (MEMBER) |
| Authorized Official Telephone | 5207974000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HC1378 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC DEPARTMENT OF HEALTH AND HUMAN SERVICES | HC1378 | 01 |
| Other Name | Type Code |
|---|---|
| Watermark at Home | Doing Business As Name - Organization |
| Street Address |
200 TRADE ST |
| City | TARBORO |
| State | NC |
| Zip Code | 27886-5055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710932355 | Watermark Albemarle, LLC | Skilled Nursing Facility | 200 Trade St, Tarboro, NC 27886-5055 | 2006-05-23 |
| 1003462144 | James Montgomery | Physical Therapist | 200 Trade St, Tarboro, NC 27886-5055 | 2019-08-14 |
| 1801374301 | Stephanie Slayton | Physical Therapist | 200 Trade St, Tarboro, NC 27886-5055 | 2018-08-06 |
| 1396273934 | Joy Rogers Evans | Physical Therapy Assistant | 200 Trade St, Tarboro, NC 27886-5055 | 2017-05-26 |
| 1114455052 | Wahab Olayinka Animashaun | Physical Therapist | 200 Trade St, Tarboro, NC 27886-5055 | 2017-05-23 |
| 1942757794 | Sarah Meerholz | Physical Therapy Assistant | 200 Trade St, Tarboro, NC 27886-5055 | 2016-09-08 |
| 1932587029 | Watermark Albemarle, LLC | Skilled Nursing Facility | 200 Trade St, Tarboro, NC 27886-5055 | 2015-05-11 |
| 1417334749 | Lisa R Weathersby | Physical Therapist | 200 Trade St, Tarboro, NC 27886-5055 | 2015-05-06 |
| 1023409133 | Linda Bowen | Occupational Therapy Assistant | 200 Trade St, Tarboro, NC 27886-5055 | 2015-02-10 |
| 1659762177 | Joyce Spivey | Occupational Therapy Assistant | 200 Trade St, Tarboro, NC 27886-5055 | 2015-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781566 | Fountain Transportation | Non-emergency Medical Transport (VAN) | 350 William Walston Lane, Tarboro, NC 27886 | 2019-10-09 |
| 1942737481 | Jude Ude | Pharmacist | 1519 Man Street, Tarboro, NC 27886 | 2017-05-15 |
| 1487197406 | Fms Ena Home, LLC | Clinic/Center | 122 Hospital Drive, Tarboro, NC 27886 | 2016-11-22 |
| 1295191450 | Fountain Adult Home Care, LLC | Custodial Care Facility | 303 William Walston Lane, Tarboro, NC 27886 | 2016-01-04 |
| 1033464805 | Tiffany Chapman Barber | Pharmacist | 1519 N Main Street, Tarboro, NC 27886 | 2012-07-18 |
| 1891085247 | Illumi-nation Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7806 Hwy 42 East, Tarboro, NC 27886 | 2011-04-19 |
| 1376842187 | Hiren C Patel | Pharmacist | 1600 North Main St., Tarboro, NC 27886 | 2011-03-18 |
| 1407976590 | Edgecombe Chiropractic Inc | Chiropractor | 1801 Main Street, Tarboro, NC 27886 | 2007-03-30 |
| 1265567762 | Rinson A Weathers | Personal Emergency Response Attendant | 111 Hospital Drive, Tarboro, NC 27886 | 2007-02-23 |
| 1780758961 | George Thomas Ward | Dentist | 112 W St John Street, Tarboro, NC 27886 | 2006-11-20 |
| Find all providers in zip 27886 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669667564 | Home Life Care, Inc. | Home Health | 401a W Wilson St, Tarboro, NC 27886-4236 | 2007-09-13 |
| 1922134485 | International Health Care | Home Health | 2228 N Main St, Tarboro, NC 27886-2147 | 2007-02-26 |
| 1508945403 | Caring Hearts Healthcare,inc. | Home Health | 105 East Church Street, Tarboro, NC 27886-0187 | 2006-11-03 |
| 1437167236 | Heritage Home Health Care, Inc. | Home Health | 119 E Saint James St, Tarboro, NC 27886-5053 | 2006-08-04 |
| 1780646844 | County of Edgecombe Office of Auditor | Home Health | 122 E Saint James St, Tarboro, NC 27886-5016 | 2006-04-04 |
| 1255930020 | Beyond Blessed Private Duty Sitter Companion Services LLC | Home Health | 300 Virginia Ave, Tarboro, NC 27886-4943 | 2020-10-22 |
| 1629695911 | Kind & Karing Hearts Home Care | Home Health | 410 Main Street, Tarboro, NC 27886 | 2020-07-02 |
| 1962869024 | Capital Care Resources, LLC | Home Health | 122 E Saint James St, Tarboro, NC 27886-5016 | 2016-01-20 |
| 1740581743 | Tender Touch Home Care Services, Co | Home Health | 409 Lincoln Rd, Tarboro, NC 27886-1727 | 2010-11-06 |
| 1477734846 | Heart To Heart Sitters Service | Home Health | 201 Morrison Ave, Tarboro, NC 27886-2529 | 2007-11-14 |
| Find all providers in TARBORO | ||||
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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.