STANLEY TOTAL LIVING CENTER, INC (NPI# 1407843097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407843097 |
| Entity Type | Organization |
| Organization Name | STANLEY TOTAL LIVING CENTER, INC |
| Practice Address |
514 Old Mount Holly Rd Stanley NC 28164-2191 |
| Mailing Address |
Po Box 489 Stanley NC 28164-0489 |
| Practice Telephone | 7042631986 |
| Practice Fax Number | 7042638959 |
| Mailing Telephone | 7042631986 |
| Mailing Fax Number | 7042638959 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2009-11-19 |
| Authorized Official Name | MRS. JENNIFER DEFELICE (ADMINISTRATOR) |
| Authorized Official Telephone | 7042631986 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | NH0386 | NC | Nursing & Custodial Care Facilities |
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
NH0386 | NC | Nursing & Custodial Care Facilities |
| N | 311500000X | Alzheimer Center (Dementia Center) | NH0386 | NC | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | NH0386 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | PROVIDER NUMBER | 0086C | 01 |
| NC | 3405264 | 05 |
| Street Address |
514 OLD MOUNT HOLLY RD |
| City | STANLEY |
| State | NC |
| Zip Code | 28164-2191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932383312 | Stanley Total Living Center | Alzheimer Center (Dementia Center) | 514 Old Mount Holly Rd, Stanley, NC 28164-2191 | 2007-12-21 |
| 1669656047 | Stanley Total Living Center | Assisted Living Facility | 514 Old Mount Holly Rd, Stanley, NC 28164-2191 | 2007-12-21 |
| 1972636579 | Jennifer Ann Caudell | Physical Therapist | 514 Old Mount Holly Rd, Stanley, NC 28164-2191 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992059430 | Stress Free Home Care | In Home Supportive Care | 717 South Main St., Stanley, NC 28164 | 2012-11-06 |
| 1235499559 | Comfort and Care Dentistry of Stanley | Dentist | 510 Highway 27 South, Stanley, NC 28164 | 2012-05-21 |
| 1912273863 | Cathleen Elizabeth Fisher | Pharmacist | 6050 South 16 North Carolina Highway, Denver, NC 28164 | 2012-03-26 |
| 1871779033 | Ronald M Cox Dds Pa | Dentist | 115 E College Street, Stanley, NC 28164 | 2008-01-17 |
| 1992996946 | Katherine R. Petersen | Dentist | 400 S Highway 27, Stanley, NC 28164 | 2007-08-06 |
| 1154482230 | Frederick Mathew Hornack Jr. | Optometrist | 204 South Main Street, Stanley, NC 28164 | 2006-12-13 |
| 1871678110 | Fatima A Brens | Family Medicine | 700 N Main St, Stanley, NC 28164 | 2006-10-26 |
| 1518422633 | Amber Randall | Behavior Technician | 107 Devine St, Stanley, NC 28164-1151 | 2019-02-02 |
| 1558780874 | Lisa Bailey Wilbanks | Nurse Practitioner | 121 Golden St, Stanley, NC 28164-1187 | 2014-04-15 |
| 1073878252 | Sunny Bakalli Severance | Nurse Practitioner | 700 N Main St, Stanley, NC 28164-1438 | 2012-07-12 |
| Find all providers in zip 28164 | ||||
| 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 |
|---|---|---|---|---|
| 1184712002 | Mountrail Bethel Home, Inc. | Skilled Nursing Facility | 615 6th St Se, Stanley, ND 58784-4444 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1629535455 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 621 Chestnut Ridge Pkwy, Blowing Rock, NC 28605-8962 | 2019-02-28 |
| 1871063214 | Vero Health X, LLC | Skilled Nursing Facility | 417 Cloverdale Rd, Sylva, NC 28779-0679 | 2018-11-28 |
| 1821573809 | Carolina Bay Healthcare Center of Wilmington, LLC | Skilled Nursing Facility | 740 Diamond Shoals Rd, Wilmington, NC 28403-4388 | 2018-09-26 |
| 1093228397 | Bellarose Nursing and Rehab Center, Inc. | Skilled Nursing Facility | 200 Bellarose Lake Way, Garner, NC 27529-7049 | 2017-11-08 |
| 1558872333 | Brunswick Health & Rehab Center, LLC | Skilled Nursing Facility | 9600 No 5 School Rd Nw, Ash, NC 28420-2122 | 2017-10-19 |
| 1538684212 | Eagle Acquisition Vi LLC | Skilled Nursing Facility | 901 S Halstead Blvd., Elizabeth City, NC 27909-6920 | 2017-08-03 |
| 1982130811 | Ashton Health and Rehabilitation, LLC | Skilled Nursing Facility | 5533 Burlington Rd, Mc Leansville, NC 27301-9622 | 2017-05-11 |
| 1831625037 | Supplemental Healthcare | Skilled Nursing Facility | 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 | 2017-05-08 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| Find all providers with the same taxonomy | ||||
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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.