CHESTNUT PARK RETIREMENT CENTER (NPI# 1881713923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881713923 |
| Entity Type | Organization |
| Organization Name | CHESTNUT PARK RETIREMENT CENTER |
| Practice Address |
84 Chestnut Park Dr Waynesville NC 28786-4180 |
| Practice Telephone | 8284565858 |
| Practice Fax Number | 8284569857 |
| Mailing Telephone | 8284565858 |
| Mailing Fax Number | 8284569857 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | MS. BARBARA HANNAH (ADMINISTRATOR) |
| Authorized Official Telephone | 8284565858 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
HAL044022 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7803953 | 05 |
| Street Address |
84 CHESTNUT PARK DR |
| City | WAYNESVILLE |
| State | NC |
| Zip Code | 28786-4180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073005898 | Ezekiel Jonathan Watts | Chiropractor | 627 N Main St Ste 2, Waynesville, NC 28786 | 2018-06-06 |
| 1093228009 | Ingles Markets Inc | Pharmacy | 1670 Brown Ave, Waynesville, NC 28786 | 2017-11-13 |
| 1588198485 | Suzanne Howle | Speech-Language Pathologist | 516 Wall Street, Waynesville, NC 28786 | 2017-04-18 |
| 1477086627 | Cm Pharmacy LLC | Pharmacy | 97 Kent Lane, Waynesville, NC 28786 | 2017-04-05 |
| 1417315524 | Meridian Behavioral Health Services, Inc | Community/Behavioral Health | 495 Brown Ave, Waynesville, NC 28786 | 2016-02-03 |
| 1710342639 | Lauren Keeler | Pharmacist | 259 Barber Blvd, Waynesville, NC 28786 | 2015-12-18 |
| 1124467154 | Meridian Behavioral Health Services, Inc. | Community/Behavioral Health | 367 Dellwood Rd Ste E, Waynesville, NC 28786 | 2013-06-24 |
| 1750681888 | Crystal Klunk | Counselor | 669 South Haywood Street, Waynesville, NC 28786 | 2010-10-22 |
| 1043527294 | Amanda Clemmons Savage | Pharmacist | 366 Russ Ave, Kim's Pharmacy, Waynesville, NC 28786 | 2010-09-09 |
| 1902064355 | Rebecca Lynn Mattson | Pharmacist | 733 Russ Ave, Waynesville, NC 28786 | 2008-05-31 |
| Find all providers in zip 28786 | ||||
| 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 |
|---|---|---|---|---|
| 1912027871 | Ssc Waynesville Operating Company LLC | Custodial Care Facility | 516 N Wall St, Waynesville, NC 28786-3840 | 2007-04-01 |
| 1174642219 | Queen's Retirement Home | Custodial Care Facility | 465 Boyd Ave, Waynesville, NC 28786-4317 | 2007-03-28 |
| 1225157365 | Chestnut Park Rest Home #1 | Custodial Care Facility | 64 Chestnut Park Dr, Waynesville, NC 28786-4180 | 2007-03-28 |
| 1649398777 | Earl Enterprises Inc. | Custodial Care Facility | 251 Shelton St, Waynesville, NC 28786-3362 | 2007-03-27 |
| 1649396698 | Richland Community Care 1&2 | Custodial Care Facility | 290 Killian St, Waynesville, NC 28786-4264 | 2007-03-21 |
| 1477985893 | Earl Enterprises Inc | Custodial Care Facility | 465 Boyd Ave, Waynesville, NC 28786-4317 | 2013-08-08 |
| 1972823243 | Mccracken Rest Home | Custodial Care Facility | 203 Mccracken St, Waynesville, NC 28786-4631 | 2010-06-09 |
| 1891017489 | Creekside Investments | Custodial Care Facility | 465 Boyd Ave, Waynesville, NC 28786-4317 | 2010-02-23 |
| 1740451137 | Queen Retirement Home | Custodial Care Facility | 465 Boyd Ave, Waynesville, NC 28786-4317 | 2008-03-13 |
| 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 | WAYNESVILLE |
| Zip Code | 28786 |
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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.