MARK BORDEAUX (NPI# 1669711735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669711735 |
| Entity Type | Individual |
| Full Name | MARK BORDEAUX |
| Practice Address |
Margate Health and Rehab 540 Waugh St Jefferson NC 28640-9034 |
| Mailing Address |
91 Cisco Rd Asheville NC 28805-1335 |
| Practice Telephone | 3362465581 |
| Mailing Telephone | 8282309864 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2020-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2195 | NC | Nursing & Custodial Care Facilities |
| Street Address |
MARGATE HEALTH AND REHAB 540 WAUGH ST |
| City | JEFFERSON |
| State | NC |
| Zip Code | 28640-9034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1902466543 | Emily Claire Wilson | Physical Therapist | 419 East Main Street Unit 4, Jefferson, NC 28640 | 2019-06-17 |
| 1457824393 | Miranda Lyalls Jordan | Nurse Practitioner | 310 Hospital Ave, Jefferson, NC 28640 | 2019-01-03 |
| 1659859247 | Molly Reynolds | Physical Therapist | 419 E. Main St. Unit 4, Jefferson, NC 28640 | 2018-08-06 |
| 1548644040 | Amanda Stroud | Dentist | 225 Court Street, Jefferson, NC 28640 | 2015-07-14 |
| 1710388772 | Schuster Physical Therapy Inc. | Clinic/Center | 419 E. Main St., Jefferson, NC 28640 | 2014-09-09 |
| 1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
| 1093029498 | Robin Arlene Edwards | Nurse Practitioner | 151 Medical Park Dr., Jefferson, NC 28640 | 2010-07-28 |
| 1659516979 | Patricia Ann Franklin | Physical Therapist | 125 Colvard Farm Rd, Unit 7, Jefferson, NC 28640 | 2008-12-16 |
| 1730363342 | Ashe County Public Schools | Local Education Agency (LEA) | 320 South Street, Jefferson, NC 28640 | 2007-12-19 |
| Find all providers in zip 28640 | ||||
| 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 |
|---|---|---|---|---|
| 1962505313 | Margate Health and Rehab Center LLC | Skilled Nursing Facility | 540 Waugh Street, Jefferson, NC 28640-0130 | 2006-09-07 |
| 1487692380 | Jefferson Healthcare Center LLC | Skilled Nursing Facility | 2200 Jefferson Hwy, Jefferson, LA 70121-3822 | 2006-06-03 |
| 1477513059 | Centers for Long Term Care of Iowa | Skilled Nursing Facility | 100 Ram Dr, Jefferson, IA 50129-2728 | 2006-03-27 |
| 1952397739 | Pine Hill Nursing and Rehabilitation Lp | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2005-09-27 |
| 1801881420 | Jefferson Health Center | Skilled Nursing Facility | 222 E Beech St, Jefferson, OH 44047-9490 | 2005-09-20 |
| 1346872413 | Opco Jefferson, Ia, LLC | Skilled Nursing Facility | 100 Ram Dr, Jefferson, IA 50129-2728 | 2020-02-06 |
| 1124495486 | Fannin County Hospital Authority | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2015-08-21 |
| 1285958298 | Alden Estates of Countryside, Inc. | Skilled Nursing Facility | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2010-03-19 |
| 1598910291 | Jefferson I Enterprises, LLC | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2008-11-21 |
| 1639379902 | Magnolia Manor Management Inc | Skilled Nursing Facility | 510 E Bonham St, Jefferson, TX 75657-1506 | 2007-07-24 |
| Find all providers in JEFFERSON | ||||
Please comment or provide details below to improve the information on MARK BORDEAUX.
| 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.