ROLLING RIDGE RETIREMENT CENTER (NPI# 1801951926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801951926 |
| Entity Type | Organization |
| Organization Name | ROLLING RIDGE RETIREMENT CENTER |
| Practice Address |
700 Mount Olive Dr Newton Grove NC 28366-7741 |
| Practice Telephone | 9105942100 |
| Practice Fax Number | 9105942698 |
| Mailing Telephone | 9105942100 |
| Mailing Fax Number | 9105942698 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ELEONORE PIETRUSEWICZ (OWNER) |
| Authorized Official Telephone | 9105942100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
HAL082007 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7803505 | 05 |
| Street Address |
700 MOUNT OLIVE DR |
| City | NEWTON GROVE |
| State | NC |
| Zip Code | 28366-7741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558491290 | Bonnie Hobbs Warren | Speech-Language Pathologist | 270 Britt Rd., Newton Grove, NC 28366 | 2007-03-06 |
| 1326152547 | Joey W. Williford | Pharmacist | 305 Weeks Circle, Newton Grove, NC 28366 | 2006-08-17 |
| 1588968812 | Amanda Darden Herrington | Physician Assistant | 301 Main St, Newton Grove, NC 28366 | 2010-12-30 |
| 1699878538 | Newton Grove Drug Co Inc | Pharmacy | 305 Weeks Circle, Newton Grove, NC 28366 | 2006-09-06 |
| 1447292941 | Cynthia S Vail | Physician Assistant | 301 Main St, Newton Grove, NC 28366 | 2006-06-11 |
| 1790112175 | Jimmy Lee Smith Jr. | Counselor | 194 Holiday Ln, Newton Grove, NC 28366-6295 | 2013-10-01 |
| 1720199771 | David Richard Yarasheski | Chiropractor | 233 Straw Pond School Road, Newton Grove, NC 28366-6777 | 2006-08-31 |
| 1275561839 | Enhance Therapy Services, Inc. | Occupational Therapist | 850 Straw Pond School Rd, Newton Grove, NC 28366-6788 | 2006-06-30 |
| 1275736431 | Shannon Lucas Williams | Counselor | 645 Bells Branch Rd, Newton Grove, NC 28366-7585 | 2007-06-06 |
| 1619251766 | Sampson Regional Professional Services LLC | Clinic/Center | 301 Main St, Newton Grove, NC 28366-7723 | 2011-10-07 |
| Find all providers in zip 28366 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
| City | NEWTON GROVE |
| Zip Code | 28366 |
Please comment or provide details below to improve the information on ROLLING RIDGE RETIREMENT CENTER.
| 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.