CEDAR COVE ASSISTED LIVING, LLC (NPI# 1558667790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558667790 |
| Entity Type | Organization |
| Organization Name | CEDAR COVE ASSISTED LIVING, LLC |
| Practice Address |
4200 Jasmine Cove Way Wilmington NC 28412-2099 |
| Practice Telephone | 9103955220 |
| Practice Fax Number | 9103958218 |
| Mailing Telephone | 9103955220 |
| Mailing Fax Number | 9103958218 |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |
| Authorized Official Name | MR. JAMES MURRAY CARROLL (MEMBER) |
| Authorized Official Telephone | 9105091332 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
HAL-065-035 | NC | Nursing & Custodial Care Facilities |
| Street Address |
4200 JASMINE COVE WAY |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412-2099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467516070 | The Meadows of Wilmington Inc | Assisted Living Facility | 4200 Jasmine Cove Way, Wilmington, NC 28412-2099 | 2006-12-20 |
| 1033230875 | Glencare Assisted Living, Inc Dba | Assisted Living Facility | 4200 Jasmine Cove Way, Wilmington, NC 28412-2099 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
| 1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
| 1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| Find all providers in zip 28412 | ||||
| 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 |
|---|---|---|---|---|
| 1326426800 | Rha Health Services Nc, LLC | Custodial Care Facility | 1502 N Kerr Ave, Wilmington, NC 28405-1110 | 2015-05-15 |
| 1811210644 | Superior Care-adult Center | Custodial Care Facility | 631 W Newport Pike, Wilmington, DE 19804-3259 | 2010-03-08 |
| 1003066051 | Resources for Human Development | Custodial Care Facility | 2804 Grubb Rd, Wilmington, DE 19810-2319 | 2008-09-26 |
| 1528104585 | Easter Seals Ucp North Carolina & Virginia, Inc. | Custodial Care Facility | 129 El Ogden Dr, Wilmington, NC 28411-9713 | 2007-01-29 |
| 1619013679 | Easter Seals Ucp North Carolina & Virginia, Inc. | Custodial Care Facility | 3531 Lakewood Pl, Wilmington, NC 28409-9169 | 2007-01-29 |
| 1710071238 | Eldo, Inc. | Custodial Care Facility | 1803 Castle St, Wilmington, NC 28403-2103 | 2006-10-02 |
| 1497002745 | Chrysalis Home Care LLC | Custodial Care Facility | 1803 Castle St, Wilmington, NC 28403-2103 | 2012-08-06 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
Please comment or provide details below to improve the information on CEDAR COVE ASSISTED LIVING, 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.