EXTENDED CARE NETWORK, LLC (NPI# 1669900973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669900973 |
Entity Type | Organization |
Organization Name | EXTENDED CARE NETWORK, LLC |
Other Organization Name | EVERGREEN ADULT DAY SERVICES |
Practice Address |
3434 Kildaire Farm Rd Ste 129 Cary NC 27518-2275 |
Practice Telephone | (919) 238-4738 |
Practice Fax Number | 8443639442 |
Mailing Telephone | 9192384738 |
Mailing Fax Number | 8443639442 |
Enumeration Date | 2017-05-31 |
Last Update Date | 2017-05-31 |
Authorized Official Name | LINDA UNKYONG KIM (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9192384738 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
NC | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Evergreen Adult Day Services | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | EXTENDED CARE NETWORK, LLC | 3434 Kildaire Farm Rd Ste 129, Cary, NC 27518-2275 |
Street Address |
3434 KILDAIRE FARM RD STE 129 |
City | CARY |
State | NC |
Zip Code | 27518-2275 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
Find all providers in zip 27518 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
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---|---|---|---|---|
1659713097 | Resources for Seniors, Inc | Clinic/Center | 110 Maury Odell Pl, Cary, NC 27513-3599 | 2013-07-26 |
1386086734 | Resources for Seniors, Inc | Clinic/Center | 200 High Meadow Dr, Cary, NC 27511-5414 | 2013-07-26 |
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1144861337 | The Caswell Family Medical Center, Inc. | Clinic/Center | 649 Firetower Rd, Yanceyville, NC 27379 | 2019-09-30 |
1174188676 | Brutonville Concerned Citizens, Inc. | Clinic/Center | 112 Brutonville School Road, Candor, NC 27229-2722 | 2019-05-09 |
1558847848 | Golden Horizons Adc | Clinic/Center | 1106 Suite C Hillandale Rd., Durham, NC 27705-2770 | 2018-07-19 |
1598257578 | Henosis Managment, LLC | Clinic/Center | 7701 Wallace Ln, Charlotte, NC 28212-6427 | 2018-06-05 |
1689161309 | Kimberly White | Clinic/Center | 5023 Brooktree Dr, Charlotte, NC 28208-1616 | 2018-04-18 |
1780124214 | Lonnie's Heart of Hope | Clinic/Center | 122 Harding St, Elizabeth City, NC 27909-3009 | 2017-03-02 |
1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
1649714767 | Mountain View Fhc | Clinic/Center | 4874 Rifle Range Rd, Conover, NC 28613-8727 | 2016-12-08 |
1801260690 | Caring Hearts, Inc. | Clinic/Center | 1600 W Howard Ave, Suite 38, Tarboro, NC 27886-4198 | 2015-11-17 |
1518336296 | Special Touch Living | Clinic/Center | 11262 Heritage Green Drive, Cornelius, NC 28031 | 2015-09-23 |
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.