CAROLINE NURSING HOME, INC (NPI# 1821080805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821080805 |
| Entity Type | Organization |
| Organization Name | CAROLINE NURSING HOME, INC |
| Other Organization Name | CAROLINE NURSING & REHAB CENTER, INC |
| Practice Address |
520 Kerr Ave Denton MD 21629-1343 |
| Practice Telephone | 4104792130 |
| Practice Fax Number | 4104793057 |
| Mailing Telephone | 4104792130 |
| Mailing Fax Number | 4104793057 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. NORMA L. SCHULTZ (ADMINISTRATOR) |
| Authorized Official Telephone | 4104792130 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 05-001 | MD | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Caroline Nursing & Rehab Center, Inc | Doing Business As Name - Organization |
| Street Address |
520 KERR AVE |
| City | DENTON |
| State | MD |
| Zip Code | 21629-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757911 | Axis Health At Caroline Opco LLC | Skilled Nursing Facility | 520 Kerr Ave, Denton, MD 21629-1343 | 2019-09-03 |
| 1487049987 | Caroline Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 520 Kerr Ave, Denton, MD 21629-1343 | 2015-04-01 |
| 1558786533 | Christine Daubach | Physical Therapy Assistant | 520 Kerr Ave, Denton, MD 21629-1343 | 2014-02-27 |
| 1760810170 | Paula Wilhelm | Physical Therapy Assistant | 520 Kerr Ave, Denton, MD 21629-1343 | 2013-10-22 |
| 1497090369 | Susan P Jordan | Physical Therapy Assistant | 520 Kerr Ave, Denton, MD 21629-1343 | 2012-12-04 |
| 1578808762 | Robin Marie Strom-mackey | Occupational Therapy Assistant | 520 Kerr Ave, Denton, MD 21629-1343 | 2012-11-29 |
| 1346585668 | Rajeweni Kumar Govindu | Occupational Therapist | 520 Kerr Ave, Denton, MD 21629-1343 | 2012-11-28 |
| 1104160662 | Sundance Rehabilitation | Rehabilitation Unit | 520 Kerr Ave, Denton, MD 21629-1343 | 2012-11-21 |
| 1376669143 | Victoria D Jones | Physical Therapy Assistant | 520 Kerr Ave, Denton, MD 21629-1343 | 2007-03-22 |
| 1255457040 | Joan Louise Adams | Occupational Therapy Assistant | 520 Kerr Ave, Denton, MD 21629-1343 | 2007-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423060 | Marilyn Serino | Social Worker | 207 South 7th Street, Denton, MD 21629 | 2019-02-20 |
| 1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
| 1487136404 | Thomas J. Yoder | Physical Therapist | 103 South 7th Street, Denton, MD 21629 | 2018-09-06 |
| 1821512773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21 Denton Plz, Denton, MD 21629 | 2017-08-02 |
| 1548708803 | Board of Child Care of The Umc Inc | Community/Behavioral Health | 27993 Substation Rd, Denton, MD 21629 | 2017-02-07 |
| 1598219156 | Deanna Mcmullen | Physical Therapist | 1140 Blades Farm Rd Ste 201, Denton, MD 21629 | 2016-08-11 |
| 1538574314 | Medha Satyarengga | Internal Medicine | 1140 Blades Farm Rd Ste 101, Denton, MD 21629 | 2014-06-30 |
| 1104147586 | Kimberly Schall | Physical Therapist | 103 S. 7th Steet, Denton, MD 21629 | 2010-06-19 |
| 1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 2009-08-06 |
| 1285896951 | Carolyn F. Witt | Social Worker | 606 Sunnyside St., Denton, MD 21629 | 2008-06-25 |
| Find all providers in zip 21629 | ||||
| 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 |
|---|---|---|---|---|
| 1396754875 | Mountain Vista Health Park, Inc. | Skilled Nursing Facility | 106 Mt Vista Rd, Denton, NC 27239-8793 | 2006-08-05 |
| 1093702599 | Cottonwood Nursing and Rehabilitation Lp | Skilled Nursing Facility | 2224 N Carroll Blvd, Denton, TX 76201-1834 | 2005-09-30 |
| 1124022470 | Senior Care Services | Skilled Nursing Facility | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2005-06-02 |
| 1588668834 | Senior Care Services, Inc | Skilled Nursing Facility | 2244 Brinker Rd, Denton, TX 76208-6120 | 2005-06-01 |
| 1194728220 | Dallas County Hospital District | Skilled Nursing Facility | 2229 N Carroll Blvd, Denton, TX 76201-1833 | 2005-05-23 |
| 1588263750 | Denton I Enterprises, LLC | Skilled Nursing Facility | 2224 N Carroll Blvd, Denton, TX 76201-1834 | 2020-10-20 |
| 1932757911 | Axis Health At Caroline Opco LLC | Skilled Nursing Facility | 520 Kerr Ave, Denton, MD 21629-1343 | 2019-09-03 |
| 1326513854 | Denton Operator, LLC | Skilled Nursing Facility | 420 Colonial Dr, Denton, MD 21629-3055 | 2018-10-11 |
| 1396286811 | Brinton Woods of Denton, LLC | Skilled Nursing Facility | 420 Colonial Dr, Denton, MD 21629-3055 | 2017-03-16 |
| 1295275105 | Brinton Woods of Denton, LLC | Skilled Nursing Facility | 420 Colonial Dr, Denton, MD 21629-3055 | 2017-02-27 |
| Find all providers in DENTON | ||||
Please comment or provide details below to improve the information on CAROLINE NURSING HOME, INC.
| 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.