BAR ENTERPRISES OF PERQUIMANS INC (NPI# 1518084680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518084680 |
| Entity Type | Organization |
| Organization Name | BAR ENTERPRISES OF PERQUIMANS INC |
| Other Organization Name | RUSSELL'S REST HOME |
| Practice Address |
117 Gregorys Ln Hertford NC 27944-8878 |
| Practice Telephone | 2522642055 |
| Mailing Telephone | 2522642055 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | MRS. ANNETTE RUSSELL LUTHER (ADMINISTRATER) |
| Authorized Official Telephone | 2522642055 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAR ENTERPRISES OF PERQUIMANS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 7801482 | NC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Russell's Rest Home | Doing Business As Name - Organization |
| Street Address |
117 GREGORYS LN |
| City | HERTFORD |
| State | NC |
| Zip Code | 27944-8878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306479662 | Perquimans Opco Holdings LLC | Non-emergency Medical Transport (VAN) | 603 South Church St, Hertford, NC 27944 | 2020-02-14 |
| 1952825812 | Family Care Pharmacy, Inc | Pharmacy | 606 S. Church St., Hertford, NC 27944 | 2017-08-01 |
| 1568834976 | Erich Paul Junger | Counselor | 207 Hwy 343 South, Camden, NC 27944 | 2015-10-24 |
| 1053718858 | Douglas W. Perry | Dentist | 181 Perry Long Road, Hertford, NC 27944 | 2014-11-24 |
| 1396086971 | Hertford Healthcare, LLC | Assisted Living Facility | 464 Two Mile Desert Road, Hertford, NC 27944 | 2013-03-07 |
| 1063559920 | Perquimans County Schools | Local Education Agency (LEA) | 411 Edenton Road Street, Hertford, NC 27944 | 2007-01-31 |
| 1124173620 | Albemarle Mental Health Center | Clinical Neuropsychologist | 101arpdc Street, Hertford, NC 27944 | 2007-01-24 |
| 1710031521 | Albemarle Mental Health Center | Social Worker | 101 Arpdc Street, Hertford, NC 27944 | 2007-01-22 |
| 1245391770 | Stephanie Stallings Gregory | Pharmacist | 606 South Church St, Hertford, NC 27944 | 2006-12-12 |
| 1861565640 | Douglas W Perry Dds Pa | Dentist | 181 Perry Long Rd, Hertford, NC 27944 | 2006-11-17 |
| Find all providers in zip 27944 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396086971 | Hertford Healthcare, LLC | Assisted Living Facility | 464 Two Mile Desert Road, Hertford, NC 27944 | 2013-03-07 |
| 1417229113 | Lillian Brothers Family Care Home LLC | Assisted Living Facility | 533 Weight Station Rd, Hertford, NC 27944-8562 | 2012-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689104 | B&b Assisted Living Care LLC | Assisted Living Facility | 9461 Us Hwy 710s, Rowland, NC 28383 | 2020-08-10 |
| 1306465745 | Cedar Senior Living, LLC. | Assisted Living Facility | 670 Cedar Lake Ln, Clinton, NC 28328-8986 | 2020-04-15 |
| 1003444258 | Trinity Developmental Center, LLC | Assisted Living Facility | 4027 Franklin Meadows Dr, Matthews, NC 28105-6935 | 2020-03-31 |
| 1114562147 | Taylor Care Group, LLC | Assisted Living Facility | 1188 Bertha Wilson Rd, Blanch, NC 27212-9795 | 2019-11-13 |
| 1710528377 | Grace Village Inc | Assisted Living Facility | 501 River Bend Dr., Granite Falls, NC 28630 | 2019-10-04 |
| 1336799246 | Tieshquanna Ciare Richardson | Assisted Living Facility | 312 Kilgo St, Clayton, NC 27520-1651 | 2019-09-13 |
| 1326695404 | Snh Nc Tenant LLC | Assisted Living Facility | 5920 Mcchesney Dr, Charlotte, NC 28269-6238 | 2019-08-22 |
| 1659928174 | Coastal Pointe Senior Living LLC | Assisted Living Facility | 5220 Ocean Hwy W, Shallotte, NC 28470-4006 | 2019-08-20 |
| 1861046674 | A1a-arc of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd, Dunn, NC 28334-6240 | 2019-07-30 |
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
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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.