PINE GARDENS ADULT CARE (NPI# 1710102843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710102843 |
| Entity Type | Organization |
| Organization Name | PINE GARDENS ADULT CARE |
| Practice Address |
6016 Pinetown Rd Oxford NC 27565-7955 |
| Practice Telephone | 9196932984 |
| Practice Fax Number | 9196030287 |
| Mailing Telephone | 9196932984 |
| Mailing Fax Number | 9196030287 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JOYCE A HARRIS (ADMINSTRATOR) |
| Authorized Official Telephone | 9196932984 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL-039-004 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7802157 | 05 |
| Street Address |
6016 PINETOWN RD |
| City | OXFORD |
| State | NC |
| Zip Code | 27565-7955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
| 1528536059 | Bridget Shouse Clark | Social Worker | 6271 Horner Siding Rd, Oxford, NC 27565 | 2018-11-02 |
| 1972038495 | Brittany Adams | Pharmacist | 215 Williamsboro Street, Oxford, NC 27565 | 2017-04-21 |
| 1487199568 | Duke University Affiliated Physicians, Inc. | Family Medicine | 1490 Williamsboro St., Oxford, NC 27565 | 2016-12-29 |
| 1801343819 | Four County Orthopedics Pa | Orthopaedic Surgery | 103 Professional Park Drive, Suite C, Oxford, NC 27565 | 2016-09-07 |
| 1548644842 | Drake Frazier and Mcneal, Dds, Pa | Dentist | 115 Williamsboro St., Oxford, NC 27565 | 2015-07-16 |
| 1982082251 | Colleen Moore | Pharmacist | 700 B Hillsboro St, Oxford, NC 27565 | 2015-05-07 |
| 1073753497 | Yashica Yvonne Ruffin | Family Medicine | 1015 Lewis Street, Oxford, NC 27565 | 2009-02-25 |
| 1205021631 | Helping Hands Alternative Inc | Home Health | 121 East Mcclanahan Street, Oxford, NC 27565 | 2007-09-10 |
| 1730380874 | Hushang Ghodrat, Dds, Pa | Dentist | 1419 College Street, Suite B, Oxford, NC 27565 | 2007-05-29 |
| Find all providers in zip 27565 | ||||
| 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 |
|---|---|---|---|---|
| 1548819733 | Snh Omiss Tenant LLC | Assisted Living Facility | 1488 Belk Blvd, Oxford, MS 38655-5356 | 2019-09-10 |
| 1023519766 | The Blake At Oxford | Assisted Living Facility | 110 Ed Perry Blvd, Oxford, MS 38655-3452 | 2018-02-27 |
| 1083866552 | Joy Home, Inc. | Assisted Living Facility | 419 No Pacific Ave., Oxford, KS 67119 | 2008-10-16 |
| 1912125592 | Oxford Senior Living, LLC | Assisted Living Facility | 100 Azalea Dr, Oxford, MS 38655-8113 | 2007-04-22 |
| 1851449136 | Granville House | Assisted Living Facility | 200 Coventry Dr, Oxford, NC 27565-4005 | 2007-01-05 |
| 1922594290 | Southern Living for Seniors of Oxford Nc LLC | Assisted Living Facility | 904 Raleigh St, Oxford, NC 27565-3744 | 2018-07-10 |
| 1942792288 | North Carolina Community Homes, LLC | Assisted Living Facility | 6659 Private School Rd, Oxford, NC 27565-7601 | 2018-06-02 |
| 1881019883 | Mission Oaks Assisted Living | Assisted Living Facility | 10780 N Us Highway 301, Oxford, FL 34484-3505 | 2014-02-27 |
| 1033546585 | Summit Communities, LLC | Assisted Living Facility | 904 Raleigh St, Oxford, NC 27565-3744 | 2013-09-30 |
| 1063606481 | S & J Family Care Home | Assisted Living Facility | 308 Person St, Oxford, NC 27565-3732 | 2007-08-29 |
| Find all providers in OXFORD | ||||
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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.