MRS. MARY JONES SOMERVILLE (NPI# 1649314840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649314840 |
| Entity Type | Individual |
| Full Name | MRS. MARY JONES SOMERVILLE |
| Practice Address |
303 W Franklin St Warrenton NC 27589-1937 |
| Mailing Address |
686 Axtell Ridgeway Rd Norlina NC 27563-9250 |
| Practice Telephone | 2522574568 |
| Practice Fax Number | 2522572388 |
| Mailing Telephone | 2524564239 |
| Mailing Fax Number | 2524563718 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | 715493 | NC | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7801382 | 05 |
| Street Address |
303 W FRANKLIN ST |
| City | WARRENTON |
| State | NC |
| Zip Code | 27589-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831367267 | K & G Family Care Home | Custodial Care Facility | 303 W Franklin St, Warrenton, NC 27589-1937 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972154151 | Myia Pitt | Technician | 305 E Butte Street, Warrenton, NC 27589 | 2019-09-27 |
| 1326507260 | Alpha Magnolia Garden LLC | Assisted Living Facility | 930 Hwy. 158 Bus. East, Warrenton, NC 27589 | 2019-03-19 |
| 1780069096 | Anna D Ragonese | Occupational Therapist | 864 Hwy Business 158 West, Warrenton, NC 27589 | 2015-07-28 |
| 1225440480 | Reid Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 191 Railroad Lane, Warrenton, NC 27589 | 2014-05-22 |
| 1255759155 | Jocqueline Spencer | Occupational Therapist | 864 Us Highway 158, Business West, Warrenton, NC 27589 | 2014-03-29 |
| 1871914705 | Kimberlee Plyler | Occupational Therapy Assistant | 864 Us Hwy 158 Business, Warrenton, NC 27589 | 2013-12-19 |
| 1104251008 | Ilana Danielle Coffer | Speech-Language Pathologist | Us Hwy 158 Business W, Warrenton, NC 27589 | 2013-09-10 |
| 1134552722 | Derick Nathaniel Bayersdorfer | Occupational Therapy Assistant | 864 Us Hwy 158 Business West, Warrenton, NC 27589 | 2013-08-19 |
| 1144669979 | Goode Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 391 Snowhill Road, Warrenton, NC 27589 | 2013-06-14 |
| 1831532944 | Futrell Pharmacy Service, Inc | Pharmacy | 108b S. Main Street, Warrenton, NC 27589 | 2013-04-09 |
| Find all providers in zip 27589 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148850 | Lisa Shintal Mckever | Nursing Home Administrator | 204 N 4th St, Smithfield, NC 27577-3932 | 2020-09-10 |
| 1346891488 | Allison Nicole Burguess | Nursing Home Administrator | 20 Dungarvan Ln, Pinehurst, NC 28374-8185 | 2019-09-20 |
| 1316596364 | Coky Ann Kernodle | Nursing Home Administrator | 5767 Hwy 135, Stoneville, NC 27048-2704 | 2019-09-11 |
| 1407413420 | Sharon Mcneil | Nursing Home Administrator | 822 S Chestnut St, Henderson, NC 27536-4109 | 2019-05-24 |
| 1629571658 | Chioma Okeke | Nursing Home Administrator | 343 Scotlow Way, Morrisville, NC 27560-9264 | 2018-03-15 |
| 1447602925 | Makesia Marshall | Nursing Home Administrator | 1141 E Mine St, Asheboro, NC 27205-7258 | 2016-07-07 |
| 1720489669 | Taletha Dixon | Nursing Home Administrator | 5601 Poplin Rd, Indian Trail, NC 28079-6726 | 2014-09-10 |
| 1497062871 | Tina Ricks Harris | Nursing Home Administrator | 507 First Street, Spring Hope, NC 27882-1360 | 2010-09-08 |
| 1093030678 | Cortina Norman Watkins | Nursing Home Administrator | 107 Brett Dr, Shelby, NC 28152-9107 | 2010-04-07 |
| 1376871210 | Moses Chukwuemeka Uyadi Sr. | Nursing Home Administrator | 1100 Logger Ct Ste D-101b, Raleigh, NC 27609-8525 | 2009-12-04 |
| 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.