LOUISBURG NURSING CENTER, INC. (NPI# 1942276035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942276035 |
| Entity Type | Organization |
| Organization Name | LOUISBURG NURSING CENTER, INC. |
| Practice Address |
202 Smoketree Way Louisburg NC 27549-2165 |
| Mailing Address |
Po Box 629 Louisburg NC 27549-0629 |
| Practice Telephone | 9194962188 |
| Practice Fax Number | 9194963364 |
| Mailing Telephone | 9194962188 |
| Mailing Fax Number | 9194963364 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. NICK ELLEDGE (VICE PRESIDENT) |
| Authorized Official Telephone | 3366798852 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0264 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3405358 | 05 | |
| NC | BCBS PROVIDER NO | 0088G | 01 |
| NC | 3406200 | 05 |
| Street Address |
202 SMOKETREE WAY |
| City | LOUISBURG |
| State | NC |
| Zip Code | 27549-2165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043865538 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 202 Smoketree Way, Louisburg, NC 27549-2165 | 2019-08-02 |
| 1477016798 | Johanna Torres | Occupational Therapy Assistant | 202 Smoketree Way, Louisburg, NC 27549-2165 | 2019-04-12 |
| 1659886984 | Lauren Elizabeth Horner | Occupational Therapy Assistant | 202 Smoketree Way, Louisburg, NC 27549-2165 | 2017-12-08 |
| 1932629631 | Melody A Poli | Physical Therapy Assistant | 202 Smoketree Way, Louisburg, NC 27549-2165 | 2017-06-23 |
| 1578005039 | Erin Walker | Physical Therapy Assistant | 202 Smoketree Way, Louisburg, NC 27549-2165 | 2016-11-14 |
| 1083164545 | Sarah Billings | Physical Therapist | 202 Smoketree Way, Louisburg, NC 27549-2165 | 2016-10-09 |
| 1801241997 | Rachel Horgan | Occupational Therapist | 202 Smoketree Way, Louisburg, NC 27549-2165 | 2016-04-26 |
| 1104201672 | Jamie Mcmurphy Morgan | Occupational Therapist | 202 Smoketree Way, Louisburg, NC 27549-2165 | 2015-07-27 |
| 1699152728 | Gemma Diez-belano | Occupational Therapist | 202 Smoketree Way, Louisburg, NC 27549-2165 | 2015-04-27 |
| 1831595800 | Martha Matthews | Physical Therapy Assistant | 202 Smoketree Way, Louisburg, NC 27549-2165 | 2014-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1457816738 | Jasmine Shanta Griffin | Social Worker | Vision Behavioral Health Servicea, 104 North Main St. Suite 200, Louisburg, NC 27549 | 2019-01-31 |
| 1285065797 | Carey Wainwright | Counselor | 104 N. Main Street, Suite 200, Vision Behavioral Health Services, Louisburg, NC 27549 | 2013-12-09 |
| 1114366713 | Alston Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1510 Schloss Road #b, Loiusburg, NC 27549 | 2013-06-18 |
| 1154760981 | Tony's Helping Hand | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 32 Gayline Drive, Louisburg, NC 27549 | 2013-06-14 |
| 1689910192 | E Marie Buie | Counselor | 669 Sagamore, Louisburg, NC 27549 | 2013-01-02 |
| 1508158163 | Julie P Leonard | Pharmacist | 102 N. Bickett Blvd., Louisburg, NC 27549 | 2011-05-13 |
| 1508162678 | Franklin County Department of Social Services | Case Management | 107 Industrial Dr., Suite A, Louisburg, NC 27549 | 2011-02-07 |
| 1134352693 | Howard G Yee, Dmd Pa | Dentist | 311 South Bickett, Louisburg, NC 27549 | 2009-09-01 |
| 1679740203 | Stephen D Perdue | Physical Therapy Assistant | 2176 Nc Hwy 39 North, Louisburg, NC 27549 | 2008-05-13 |
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| 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 |
|---|---|---|---|---|
| 1376570275 | Eagle Peak Ltc Group, LLC | Skilled Nursing Facility | 1704 Nc Hwy 39 North, Louisburg, NC 27549 | 2006-06-27 |
| 1508848482 | Louisburg Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 1200 S. Broadway St., Louisburg, KS 66053-3607 | 2005-11-16 |
| 1043865538 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 202 Smoketree Way, Louisburg, NC 27549-2165 | 2019-08-02 |
| 1386187144 | Recover-care Louisburg LLC | Skilled Nursing Facility | 1200 S Broadway St, Louisburg, KS 66053-3607 | 2016-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063756 | Cary Senior Housing I Opco, LLC | Skilled Nursing Facility | 221 Brightmore Dr, Cary, NC 27518-8145 | 2019-10-04 |
| 1629535455 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 621 Chestnut Ridge Pkwy, Blowing Rock, NC 28605-8962 | 2019-02-28 |
| 1871063214 | Vero Health X, LLC | Skilled Nursing Facility | 417 Cloverdale Rd, Sylva, NC 28779-0679 | 2018-11-28 |
| 1821573809 | Carolina Bay Healthcare Center of Wilmington, LLC | Skilled Nursing Facility | 740 Diamond Shoals Rd, Wilmington, NC 28403-4388 | 2018-09-26 |
| 1093228397 | Bellarose Nursing and Rehab Center, Inc. | Skilled Nursing Facility | 200 Bellarose Lake Way, Garner, NC 27529-7049 | 2017-11-08 |
| 1558872333 | Brunswick Health & Rehab Center, LLC | Skilled Nursing Facility | 9600 No 5 School Rd Nw, Ash, NC 28420-2122 | 2017-10-19 |
| 1538684212 | Eagle Acquisition Vi LLC | Skilled Nursing Facility | 901 S Halstead Blvd., Elizabeth City, NC 27909-6920 | 2017-08-03 |
| 1982130811 | Ashton Health and Rehabilitation, LLC | Skilled Nursing Facility | 5533 Burlington Rd, Mc Leansville, NC 27301-9622 | 2017-05-11 |
| 1831625037 | Supplemental Healthcare | Skilled Nursing Facility | 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 | 2017-05-08 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
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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.