ROXBORO NURSING CENTER, INC. (NPI# 1386830248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386830248 |
| Entity Type | Organization |
| Organization Name | ROXBORO NURSING CENTER, INC. |
| Practice Address |
901 Ridge Rd Roxboro NC 27573-4511 |
| Practice Telephone | 3365990106 |
| Practice Fax Number | 3365975788 |
| Mailing Telephone | 3365990106 |
| Mailing Fax Number | 3365975788 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |
| Authorized Official Name | MR. NICK W ELLEDGE (VICE PRESIDENT) |
| Authorized Official Telephone | 3366798852 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
NH0265 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7801192 | 05 |
| Street Address |
901 RIDGE RD |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962479832 | Roxboro Nursing Center, Inc | Skilled Nursing Facility | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2006-03-01 |
| 1104471531 | Liberty Healthcare Group, LLC | Assisted Living Facility | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2019-08-02 |
| 1659930212 | Ceyonne S Harrison | Occupational Therapy Assistant | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2019-06-07 |
| 1740741875 | Jenna Marie Kutchman | Occupational Therapist | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2019-03-29 |
| 1295234680 | Megan Elizabeth Langley | Physical Therapy Assistant | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2018-02-12 |
| 1770090920 | Rebecca Jean Baptiste | Occupational Therapy Assistant | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2018-01-09 |
| 1154851152 | Timothy Lee Smith | Physical Therapy Assistant | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2017-06-13 |
| 1356792543 | Lillian Hollars | Physical Therapy Assistant | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2016-06-29 |
| 1083092555 | Leanne Thornburg | Physical Therapy Assistant | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2015-05-15 |
| 1538592860 | Benedict John Stover | Physical Therapy Assistant | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2013-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786783 | Caitlin Elissa Seidler | Physician Assistant | 910 N Madison Blvd Ste B, Roxboro, NC 27573 | 2018-10-21 |
| 1467821801 | Iris W Jackola | Nurse Practitioner | 796 Doctor's Court, Roxboro, NC 27573 | 2015-09-16 |
| 1568897213 | Person County Group Homes, Inc. | Community/Behavioral Health | 607 Henry Street, Roxboro, NC 27573 | 2013-09-12 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1932445749 | Ronnie Lee Chandler | Pharmacist | 109 North Main St., Roxboro, NC 27573 | 2012-12-26 |
| 1154559581 | Roxboro Medaccess Primary Care | Clinic/Center | 3762 Durham Road, Roxboro, NC 27573 | 2009-06-24 |
| 1699922302 | Bruce Wayne Walsh | Counselor | 355 C1 S. Madison Blvd, Roxboro, NC 27573 | 2008-08-25 |
| 1033232020 | Person County Department of Social Services | Durable Medical Equipment & Medical Supplies | 355-b South Madison Blvd, Roxboro, NC 27573 | 2007-04-06 |
| 1417095886 | Thomas Jones Day Jr. | Dentist | 407 North Main St, Roxboro, NC 27573 | 2007-02-01 |
| 1578622288 | Corey Wayne Wilson | Dentist | 112 West Barden Street, Roxboro, NC 27573 | 2006-12-08 |
| Find all providers in zip 27573 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548769789 | Denise C Hamlett | Custodial Care Facility | 3067 Chub Lake Rd, Roxboro, NC 27574-8772 | 2018-02-02 |
| 1861945297 | Row Enterprise, LLC | Custodial Care Facility | 770 Haywood Bailey Rd, Roxboro, NC 27574-7583 | 2016-08-02 |
| 1881819100 | Gp Yancey Enterprises | Custodial Care Facility | 5975 Boston Rd, Roxboro, NC 27574-9182 | 2007-04-13 |
| 1114420148 | Helping Hands Adult Care Home LLC | Custodial Care Facility | 3067 Chub Lake Rd, Roxboro, NC 27574-8772 | 2018-03-15 |
| 1144574831 | The Partridge Group, LLC | Custodial Care Facility | 131 Academy St, Roxboro, NC 27573-5501 | 2012-11-01 |
| 1891040333 | New Destinations, Inc. | Custodial Care Facility | 219 N Foushee St, Roxboro, NC 27573-5314 | 2012-07-20 |
| 1700144573 | Alberta's Family Care Home | Custodial Care Facility | 710 N Main St, Roxboro, NC 27573-4754 | 2012-04-30 |
| 1447475850 | Gp Yancey Enterprises | Custodial Care Facility | 1025 Ridge Rd, Roxboro, NC 27573-4513 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
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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.