PATRICK HOSPITAL, LLC (NPI# 1699910695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699910695 |
| Entity Type | Organization |
| Organization Name | PATRICK HOSPITAL, LLC |
| Practice Address |
1270 25th Street Pl Se Hickory NC 28602-9613 |
| Mailing Address |
18688 Jeb Stuart Hwy Stuart VA 24171-1559 |
| Practice Telephone | 8282617312 |
| Mailing Telephone | 2766943151 |
| Mailing Fax Number | 2766948655 |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-05 |
| Authorized Official Name | DAVID S JONES (OWNER) |
| Authorized Official Telephone | 8283225535 |
| Is Organization Subpart | Y |
| Parent Organization Name | R.J. REYNOLDS PATRICK COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | H1919 | VA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619121217 | Patrick Hospital, LLC | Clinical Medical Laboratory | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
| 1528212123 | Patrick Hospital, LLC | Clinic/Center | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
| 1346494945 | Patrick Hospital, LLC | Hospice Care, Community Based | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
| 1164676763 | Patrick Hospital, LLC | Clinic/Center | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
| 1073767679 | Patrick Hospital, LLC | Medicare Defined Swing Bed Unit | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
| 1982858585 | Patrick Hospital, LLC | Clinic/Center | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
| 1386898971 | Patrick Hospital, LLC | Clinic/Center | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Patrick Hospital, LLC | 1270 25th Street Place, S E , Hickory, NC 28602 |
| Virginia Business Entity | Patrick Hospital, LLC | 1270 25TH ST PL SE , HICKORY, NC 28602 |
| Street Address |
1270 25TH STREET PL SE |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-9613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043624117 | Sumter Al Holdings | Assisted Living Facility | 1270 25th Street Pl Se, Hickory, NC 28602-9657 | 2014-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| 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 |
|---|---|---|---|---|
| 1508864323 | Lutheran Home - Hickory West, Inc | Skilled Nursing Facility | 1125 10th Street Blvd Nw, Hickory, NC 28601-3373 | 2005-07-14 |
| 1427052067 | Lutheran Home-hickory, Inc. | Skilled Nursing Facility | 1265 21st St Ne, Hickory, NC 28601-2911 | 2005-06-10 |
| 1124202759 | Lutheran Home - Hickory West | Skilled Nursing Facility | 1125 10th Street Blvd Nw, Hickory, NC 28601-3373 | 2007-12-18 |
| 1215110499 | Lutheran Home-hickory | Skilled Nursing Facility | 1265 21st St Ne, Hickory, NC 28601-2911 | 2007-12-11 |
| 1427089747 | Frye Regional Medical Center, Inc. | Skilled Nursing Facility | 420 N Center St, Hickory, NC 28601-5046 | 2006-07-05 |
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| 1538684212 | Eagle Acquisition Vi LLC | Skilled Nursing Facility | 901 S Halstead Blvd., Elizabeth City, NC 27909-6920 | 2017-08-03 |
| 1982130811 | Ashton Health and Rehabilitation, LLC | Skilled Nursing Facility | 5533 Burlington Rd, Mc Leansville, NC 27301-9622 | 2017-05-11 |
| 1831625037 | Supplemental Healthcare | Skilled Nursing Facility | 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 | 2017-05-08 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
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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.