SOUTHLIGHT HEALTHCARE (NPI# 1487821104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487821104 |
| Entity Type | Organization |
| Organization Name | SOUTHLIGHT HEALTHCARE |
| Practice Address |
2101 Garner Rd Raleigh NC 27610-4687 |
| Mailing Address |
3125 Poplarwood Court Suite 203 Raleigh NC 27604-6445 |
| Practice Telephone | 9198324453 |
| Practice Fax Number | 9198291357 |
| Mailing Telephone | 9197876131 |
| Mailing Fax Number | 9195712932 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2014-04-30 |
| Authorized Official Name | DR. REYNOLDS C CLODFELTER (CEO) |
| Authorized Official Telephone | 9197876131 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 161246 | NC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760811871 | Southlight Healthcare | Community/Behavioral Health | 1822 Gorman St, Apt. D, Raleigh, NC 27606-2984 | 2013-11-08 |
| 1962608919 | Southlight Healthcare | Community/Behavioral Health | 1952 Spring Dr, Garner, NC 27529-3486 | 2007-06-26 |
| 1164628020 | Southlight Healthcare | Counselor | 1012 Oberlin Rd, Suite 300, Raleigh, NC 27605-1135 | 2007-06-26 |
| 1932305885 | Southlight Healthcare | Counselor | 1012 Oberlin Rd., Suite 300, Raleigh, NC 27605-1396 | 2007-06-26 |
| 1447650478 | Southlight Healthcare | Community/Behavioral Health | 3125 Poplarwood Ct Ste 203, Raleigh, NC 27604-6445 | 2014-08-27 |
| 1255760278 | Southlight Healthcare | Community/Behavioral Health | 220 Swinburne Rd, Raleigh, NC 27610-1834 | 2013-11-12 |
| 1801132071 | Southlight Healthcare | Clinical Medical Laboratory | 2101 Garner Rd, Raleigh, NC 27610-4687 | 2012-12-17 |
| 1316268345 | Southlight Healthcare | Counselor | 2101 Garner Rd, Raleigh, NC 27610-4687 | 2010-06-14 |
| 1083933998 | Southlight Healthcare | Counselor | 2101 Garner Rd, Raleigh, NC 27610-4687 | 2010-05-18 |
| 1255526604 | Southlight Healthcare | Counselor | 1012 Oberlin Rd., Suite 300, Raleigh, NC 27605-1396 | 2007-09-10 |
| Street Address |
2101 GARNER RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-4687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356491914 | James Cuomo | Counselor | 2101 Garner Rd, Suite 107, Raleigh, NC 27610-4687 | 2007-01-12 |
| 1023646262 | Chandni Bhalodia | Physician Assistant | 2101 Garner Rd, Raleigh, NC 27610-0114 | 2020-04-01 |
| 1114553310 | Dawn Daniels | Counselor | 2101 Garner Rd, Raleigh, NC 27610-0114 | 2020-03-19 |
| 1689220303 | Leslianne Patricia Davis | Social Worker | 2101 Garner Rd, Raleigh, NC 27610-0114 | 2019-08-19 |
| 1871151878 | Marian Lansdell Edwards | Counselor | 2101 Garner Rd, Raleigh, NC 27610-0114 | 2019-06-04 |
| 1376008839 | Christopher John Mullen | Social Worker | 2101 Garner Rd, Raleigh, NC 27610-0114 | 2019-02-08 |
| 1558844795 | Ashley Ingram | Social Worker | 2101 Garner Rd, Raleigh, NC 27610-0114 | 2018-09-13 |
| 1578056834 | Megan Fries | Social Worker | 2101 Garner Rd, Raleigh, NC 27610 | 2018-06-12 |
| 1689165193 | Jazmin Stephanie Gonzalez | Counselor | 2101 Garner Rd, Raleigh, NC 27610 | 2018-05-21 |
| 1821505678 | Oviston Welch | Counselor | 2101 Garner Rd, Raleigh, NC 27610-0114 | 2018-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162103 | Prestigious One Source Home Care | Registered Nurse | 3948 Browning Pl Ste 211, Raleigh, NC 27609-6512 | 2020-10-24 |
| 1003415233 | Islande Mitil | Registered Nurse | 2435 Lynn Rd Ste 106b, Raleigh, NC 27612-6757 | 2020-10-19 |
| 1598370041 | Iesha L Mallette | Registered Nurse | 7005 Missionary Ridge Dr, Raleigh, NC 27610-6349 | 2020-09-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1730798612 | Kisha Wilson | Registered Nurse | 3938 Massey Run, Raleigh, NC 27616-9747 | 2020-07-27 |
| 1568070787 | Samantha Lynn Ligouri | Registered Nurse | 3224 Mill Run, Raleigh, NC 27612-5210 | 2020-07-14 |
| 1386262640 | Lauren Stephenson | Registered Nurse | 2809 Bolo Trl, Raleigh, NC 27615-3902 | 2020-07-13 |
| 1184247843 | Caroline Montz | Registered Nurse | 6740 Bromwich Ln Apt 204, Raleigh, NC 27607-5285 | 2020-05-28 |
| 1386266880 | Sonya Nicole Caldwell | Registered Nurse | 8523 Kangaroo Ct, Raleigh, NC 27615-7646 | 2020-05-07 |
| 1093363632 | Donnisha Robertson | Registered Nurse | 10821 Beech Valley Ct Apt 2-014, Raleigh, NC 27617-8291 | 2019-08-27 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on SOUTHLIGHT HEALTHCARE.
| 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.