BRUNSWICK COVE LIVING CENTER, LLC (NPI# 1952446510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952446510 |
| Entity Type | Organization |
| Organization Name | BRUNSWICK COVE LIVING CENTER, LLC |
| Practice Address |
1478 River Rd Se Winnabow NC 28479-5821 |
| Practice Telephone | 9103719894 |
| Practice Fax Number | 9103719609 |
| Mailing Telephone | 9103719894 |
| Mailing Fax Number | 9103719609 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2009-10-09 |
| Authorized Official Name | MR. HUGH BLAINE CAMPBELL III (MEMBER) |
| Authorized Official Telephone | 9196566735 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0478 | NC | Nursing & Custodial Care Facilities |
| Street Address |
1478 RIVER RD SE |
| City | WINNABOW |
| State | NC |
| Zip Code | 28479-5821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730178351 | Brunswick Cove Inc | Skilled Nursing Facility | 1478 River Rd Se, Winnabow, NC 28479-5819 | 2005-10-17 |
| 1073771747 | Amy Christina Kibler | Occupational Therapist | 1478 River Rd Se, Winnabow, NC 28479-5821 | 2008-05-29 |
| 1811155591 | Elaine Skelton | Physical Therapy Assistant | 1478 River Rd Se, Winnabow, NC 28479-5821 | 2008-05-29 |
| 1033377726 | Debra Beth Brigden | Speech-Language Pathologist | 1478 River Rd Se, Winnabow, NC 28479-5821 | 2008-05-29 |
| 1700053295 | L'toynya Mckoy Messick | Occupational Therapy Assistant | 1478 River Rd Se, Winnabow, NC 28479-5821 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114566593 | Caitlin Dalton | Dietitian, Registered | 424 N Culverton Rd, Winnabow, NC 28479-2103 | 2020-01-02 |
| 1457620791 | Sheri Ann Benya | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 800 Joseph Willetts Dr Se, Winnabow, NC 28479-5047 | 2011-12-15 |
| 1639558802 | Kristin Ivey Locklear | Social Worker | 721 Governors Rd Se, Winnabow, NC 28479-5123 | 2015-05-21 |
| 1326695180 | Sandra Luczynski | Acupuncturist | 511 Horton Pl, Winnabow, NC 28479-5177 | 2019-08-26 |
| 1326400102 | Aci Support Specialists, Inc | Case Management | 116 Emberwood Dr, Winnabow, NC 28479-5186 | 2016-03-22 |
| 1114326048 | Elizaberth Abernathy | Occupational Therapist | 104 S Palm Dr, Winnabow, NC 28479-5187 | 2014-08-15 |
| 1285839217 | Speak Well, LLC | Community/Behavioral Health | 9119 Clark Way Se, Winnabow, NC 28479-5275 | 2007-06-19 |
| 1043505720 | Nichols Transportation | Private Vehicle | 283 Van Galloway Trl Se, Winnabow, NC 28479-5568 | 2011-06-10 |
| 1649565078 | Nichols Transportation | Non-emergency Medical Transport (VAN) | 283 Van Galloway Trl Se, Winnabow, NC 28479-5568 | 2011-06-14 |
| 1003475542 | Julie Anne Dobiac | Specialist/Technologist | 175 Kings Holw Ne, Winnabow, NC 28479-5597 | 2019-06-09 |
| Find all providers in zip 28479 | ||||
| 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 |
|---|---|---|---|---|
| 1730178351 | Brunswick Cove Inc | Skilled Nursing Facility | 1478 River Rd Se, Winnabow, NC 28479-5819 | 2005-10-17 |
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| 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 |
| Find all providers with the same taxonomy | ||||
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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.