SOUTHERN LIVING FOR SENIORS OF NEW BERN NC LLC (NPI# 1790274868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790274868 |
| Entity Type | Organization |
| Organization Name | SOUTHERN LIVING FOR SENIORS OF NEW BERN NC LLC |
| Other Organization Name | SOUTHERN LIVING FOR SENIORS |
| Practice Address |
3407 Oaks Rd New Bern NC 28560-2718 |
| Practice Telephone | 8502535990 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |
| Authorized Official Name | KENNETH MARK SIMONS (MANAGING MEMBER) |
| Authorized Official Telephone | 8502595990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Southern Living for Seniors | Doing Business As Name - Organization |
| Street Address |
3407 OAKS RD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28560-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477638856 | Magnolia Place of New Bern, LLC | Assisted Living Facility | 3407 Oaks Rd, New Bern, NC 28560-2718 | 2006-10-26 |
| 1407177603 | Legacy Care, Inc. | Assisted Living Facility | 3407 Oaks Rd, New Bern, NC 28560-2718 | 2010-06-22 |
| 1225216872 | Water Oak Manor | Assisted Living Facility | 3407 Oaks Rd, New Bern, NC 28560-2718 | 2008-02-06 |
| 1922297597 | Loual, LLC | Alzheimer Center (Dementia Center) | 3407 Oaks Rd, New Bern, NC 28560-2718 | 2007-10-19 |
| 1184832743 | Courtyards of Magnolia, LLC | Assisted Living Facility | 3407 Oaks Rd, New Bern, NC 28560-2718 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898152 | Alec James Fields | Student in an Organized Health Care Education/Training Program | Cb 7121, 2086 Bondurant Hall, Chapel Hill, NC 28560 | 2020-10-09 |
| 1285270413 | Kelsey Miller | Social Worker | 2000 Doctor M.l.k. Jr Blvd, New Bern, NC 28560 | 2019-11-22 |
| 1568942399 | Siddharth Mourya | Physical Therapist | River Point Crest Nursing and Rehabilitation, 2600 Old Cherry Point Road, New Bern, NC 28560 | 2018-08-21 |
| 1194216713 | Genoa Healthcare, LLC | Pharmacy | 1309 Tatum Dr Ste 1, New Bern, NC 28560 | 2018-05-21 |
| 1134634561 | Eastern Carolina Young Men's Christian Association, Inc. | Health Educator | 100 Ymca Lane, New Bern, NC 28560 | 2017-12-07 |
| 1740725134 | Victoria Anne Sarbin | Audiologist | 2111 Neuse Blvd. Suite 1, New Bern, NC 28560 | 2016-12-21 |
| 1194193722 | Kriebel and Associates Pa | Clinic/Center | 3680 Neuse Blvd., New Bern, NC 28560 | 2015-09-14 |
| 1013308105 | Elizabeth Benton | Specialist | 3303 Highway 70 East, New Bern, NC 28560 | 2015-02-10 |
| 1386999068 | Allison Lang Snyder | Pharmacist | 1904 M L King Jr. Blvd., New Bern, NC 28560 | 2012-07-18 |
| 1144542606 | The Zannis Center for Plastic Surgery Pa | Clinic/Center | 2021 Neuse Blvd, New Bern, NC 28560 | 2010-02-24 |
| Find all providers in zip 28560 | ||||
| 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 |
|---|---|---|---|---|
| 1215360102 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1336 S Glenburnie Rd, New Bern, NC 28562-2624 | 2013-08-14 |
| 1396805289 | Carebridge Assisted Living | Assisted Living Facility | 2915 Brunswick Ave, New Bern, NC 28562-2601 | 2006-12-11 |
| 1902978307 | Homeplace of New Bern, LLC | Assisted Living Facility | 1309 Mccarthy Blvd, New Bern, NC 28562-2035 | 2006-11-14 |
| 1033281431 | Senior Management Solutions, Inc. | Assisted Living Facility | 4522 Old Cherry Point Rd, New Bern, NC 28560-8012 | 2006-11-14 |
| 1477638856 | Magnolia Place of New Bern, LLC | Assisted Living Facility | 3407 Oaks Rd, New Bern, NC 28560-2718 | 2006-10-26 |
| 1841375201 | Christian Care of New Bern, LLC | Assisted Living Facility | 104 Efird Blvd, New Bern, NC 28562-8913 | 2006-10-26 |
| 1609400365 | Merrill Gardens L.L.C. | Assisted Living Facility | 2701 Amhurst Blvd, New Bern, NC 28562-4294 | 2020-03-02 |
| 1114574209 | Snh Nc Tenant LLC | Assisted Living Facility | 1309 Mccarthy Blvd, New Bern, NC 28562-2035 | 2019-08-22 |
| 1699108274 | Wp-new Bern Health Holdings, LLC | Assisted Living Facility | 2915 Brunswick Ave, New Bern, NC 28562-2601 | 2013-08-19 |
| 1457639668 | Fve Se Home Place New Bern LLC | Assisted Living Facility | 1309 Mccarthy Blvd, New Bern, NC 28562-2035 | 2011-07-22 |
| Find all providers in NEW BERN | ||||
Please comment or provide details below to improve the information on SOUTHERN LIVING FOR SENIORS OF NEW BERN NC LLC.
| 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.