PRUITTHEALTH - CAROLINA POINT, LLC (NPI# 1518112036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518112036 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH - CAROLINA POINT, LLC |
| Other Organization Name | PRUITTHEALTH - CAROLINA POINT |
| Practice Address |
5935 Mount Sinai Road Durham NC 27705-8616 |
| Mailing Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Practice Telephone | 9194022450 |
| Practice Fax Number | 9194931295 |
| Mailing Telephone | 7702796200 |
| Mailing Fax Number | 7709315278 |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2014-06-02 |
| Authorized Official Name | NEIL L. PRUITT JR. (CHAIRMAN AND CEO OF MANAGER) |
| Authorized Official Telephone | 7702796200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3405551 | 05 |
| Other Name | Type Code |
|---|---|
| PruittHealth - Carolina Point | Doing Business As Name - Organization |
| Street Address |
5935 MOUNT SINAI ROAD |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-8616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| 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 |
|---|---|---|---|---|
| 1669821336 | Carver Healthcare LLC | Skilled Nursing Facility | 303 E Carver St, Durham, NC 27704-2135 | 2016-06-03 |
| 1427447549 | Geanda Tilley | Skilled Nursing Facility | 4801 Danube Ln, Apartment #823, Durham, NC 27704-1845 | 2015-01-13 |
| 1447435722 | Pruitthealth - Durham, LLC | Skilled Nursing Facility | 3100 Erwin Road, Durham, NC 27705-4505 | 2008-01-04 |
| 1619157534 | Durham Healthcare LLC | Skilled Nursing Facility | 411 S Lasalle St, Durham, NC 27705-3701 | 2007-11-08 |
| 1851437743 | Twin Maples Health Care Facility | Skilled Nursing Facility | 809 New Haven Rd # R, Durham, CT 06422-2412 | 2007-01-29 |
| 1841390010 | Treyburn Healthcare, Inc | Skilled Nursing Facility | 2059 Torredge Rd, Durham, NC 27712-1767 | 2006-09-25 |
| 1851336754 | Durham Limited Partnership IIi | Skilled Nursing Facility | 303 E. Carver Street, Durham, NC 27704-2135 | 2006-06-17 |
| 1972587376 | The United Methodist Retirement Homes, Incorporated | Skilled Nursing Facility | 2600 Croasdaile Farm Pkwy, Durham, NC 27705-1331 | 2005-11-30 |
| 1407371149 | Eagle Acquisition Iv LLC | Skilled Nursing Facility | 4230 N Roxboro St, Durham, NC 27704-1826 | 2017-08-03 |
| 1386187813 | Treyburn Rehabilitation Center, LLC | Skilled Nursing Facility | 2059 Torredge Rd, Durham, NC 27712-1767 | 2016-12-01 |
| Find all providers in DURHAM | ||||
Please comment or provide details below to improve the information on PRUITTHEALTH - CAROLINA POINT, LLC.
| 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.