WHITAKER GLEN, INC. (NPI# 1366529406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366529406 |
| Entity Type | Organization |
| Organization Name | WHITAKER GLEN, INC. |
| Other Organization Name | THE OAKS AT WHITAKER GLEN - MAYVIEW |
| Practice Address |
513 E Whitaker Mill Road Raleigh NC 27608-2699 |
| Mailing Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Practice Telephone | 9198282348 |
| Practice Fax Number | 9198287554 |
| Mailing Telephone | 7702796200 |
| Mailing Fax Number | 7709315278 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-11-18 |
| Authorized Official Name | MR. NEIL L. PRUITT JR. (CHAIRMAN AND CEO) |
| Authorized Official Telephone | 7702796200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0007 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3415009 | 05 | |
| BCBSNC | 00876 | 01 | |
| NC | 3416061 | 05 |
| Other Name | Type Code |
|---|---|
| The Oaks at Whitaker Glen - Mayview | Doing Business As Name - Organization |
| Street Address |
513 E WHITAKER MILL ROAD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27608-2699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856175 | Abbe Colodny Pllc | Community/Behavioral Health | 330 Pershing Road, Ralegih, NC 27608 | 2017-08-11 |
| 1417303975 | Restoration Family Counseling | Social Worker | 3103 Eton Rd, Raleigh, NC 27608 | 2016-05-13 |
| 1194192864 | Kathryn Bailey Jeutter | Specialist/Technologist | 1550 Iredell Dr, Raleigh, NC 27608 | 2015-08-28 |
| 1285950345 | Kathryn Dukes Miller | Social Worker | 2306 Mcmullan Circle, Raleigh, NC 27608 | 2010-04-14 |
| 1093043341 | Kristen Bryda Beach | Dietitian, Registered | 608 Scales Towne Court, Raleigh, NC 27608 | 2009-11-25 |
| 1811144942 | Rachael Hollister Wooten | Psychologist | 2721 Kittrell Dr., Raleigh, NC 27608 | 2008-08-20 |
| 1861641862 | Michele Carpenter Bulk | Physical Therapist | 513 E Whitaker Mill Rd, Raleigh, NC 27608 | 2008-09-15 |
| 1770872673 | Wendy Jill Phillips | Physical Therapist | 2626 Glennwood Ave, Suite 160, Raleigh, NC 27608-0000 | 2011-03-31 |
| 1427147875 | Brian J Kelleher Dds Pa | Clinic/Center | 2609 Glenwood Ave, Raleigh, NC 27608-1003 | 2006-10-12 |
| 1942795455 | Seth C Rumley Dds Pa II | Dentist | 2609 Glenwood Ave, Raleigh, NC 27608-1003 | 2018-06-27 |
| Find all providers in zip 27608 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619132024 | The Cypress of Raleigh Club, Inc. | Skilled Nursing Facility | 8710 Cypress Club Dr, Raleigh, NC 27615 | 2008-07-24 |
| 1780857557 | The Cypress of Raleigh, LLC | Skilled Nursing Facility | 9805 Strickland Rd, Raleigh, NC 27615-1942 | 2008-04-11 |
| 1538374343 | Rehabcare | Skilled Nursing Facility | 1500 Sawmill Rd, Raleigh, NC 27615-4320 | 2007-05-14 |
| 1194868679 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 3000 Holston Ln, Raleigh, NC 27610-2002 | 2007-02-15 |
| 1689736936 | Mayview Convalescent Home, Inc. | Skilled Nursing Facility | 513 E Whitaker Mill Rd, Raleigh, NC 27608-2633 | 2006-12-14 |
| 1356387153 | Everest Long Term Care, LLC | Skilled Nursing Facility | 3609 Bond St, Raleigh, NC 27604-3801 | 2006-06-21 |
| 1730136250 | Pruitthealth - Raleigh, LLC | Skilled Nursing Facility | 2420 Lake Wheeler Rd, Raleigh, NC 27603-2614 | 2006-05-29 |
| 1255385720 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 3000 Holston Lane, Raleigh, NC 27610 | 2006-05-20 |
| 1467421024 | Universal Health Care / Raleigh, Inc | Skilled Nursing Facility | 8200 Litchford Rd, Raleigh, NC 27615-4231 | 2006-03-16 |
| 1144299702 | Universal Health Care / North Raleigh, Inc | Skilled Nursing Facility | 5201 Clarks Fork Dr, Raleigh, NC 27616-5868 | 2006-03-16 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on WHITAKER GLEN, INC..
| 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.