HERITAGE CREEK FAMILY CARE ESTATE (NPI# 1669584298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669584298 |
| Entity Type | Organization |
| Organization Name | HERITAGE CREEK FAMILY CARE ESTATE |
| Practice Address |
1662 Small Town Rd Pink Hill NC 28572-9625 |
| Practice Telephone | 2525682655 |
| Practice Fax Number | 2525682658 |
| Mailing Telephone | 2525682655 |
| Mailing Fax Number | 2525682658 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-06-25 |
| Authorized Official Name | MR. JOSEPH M NEWSOME (DIRECTOR OF MEDICAID BILLING) |
| Authorized Official Telephone | 2525251082 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | FCL-052-005 | NC | Nursing & Custodial Care Facilities |
| Street Address |
1662 SMALL TOWN RD |
| City | PINK HILL |
| State | NC |
| Zip Code | 28572-9625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992803027 | Southerm Medical and Equipment Sales, L.p. | Durable Medical Equipment & Medical Supplies | 4459 Tarheel Drive, Suite D, Pink Hill, NC 28572 | 2006-09-20 |
| 1598785610 | Michael Gregg Wiggins Jr. | Pharmacist | 107 West Broadway Street, Pink Hill, NC 28572 | 2006-07-20 |
| 1194700799 | Edwin P Little | Family Medicine | 103 S Central Ave, Pink Hill, NC 28572 | 2005-12-07 |
| 1063505774 | Ricetta Rx North Carolina LLC | Pharmacy | 4459 Tarheel Drive, Pink Hill, NC 28572 | 2006-10-02 |
| 1003047069 | Magnanimous Group Home LLC | Case Management | 9407 Hwy 41 W, Pink Hill, NC 28572-7021 | 2009-08-06 |
| 1912934845 | Tar Heel Health Care Services, LLC | Home Health | 206 S Turner St, Pink Hill, NC 28572-7880 | 2006-06-27 |
| 1215995873 | Pink Hill Chiropractic, Pa | Chiropractor | 312 W Broadway St, Pink Hill, NC 28572-7986 | 2006-05-03 |
| 1013965938 | Jennifer Trachte Murphy | Chiropractor | 312 W Broadway St, Pink Hill, NC 28572-7986 | 2006-05-04 |
| 1164672093 | Realo Discount Drug Stores of Pink Hill, Inc. | Pharmacy | 107 W Broadway St, Pink Hill, NC 28572-7998 | 2008-09-29 |
| 1184722068 | Realo Discount Drug Stores of Pink Hill, Inc. | Pharmacy | 107 W Broadway St, Pink Hill, NC 28572-7998 | 2006-09-21 |
| Find all providers in zip 28572 | ||||
| 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 |
|---|---|---|---|---|
| 1679612188 | Glencare Assisted Living, Inc. | Assisted Living Facility | 2773 Pinewood Home Dr, Pink Hill, NC 28572-9555 | 2007-02-05 |
| 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 |
| 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.