ROXBORO NURSING CENTER, INC (NPI# 1962479832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962479832 |
| Entity Type | Organization |
| Organization Name | ROXBORO NURSING CENTER, INC |
| Practice Address |
901 Ridge Rd Roxboro NC 27573-4511 |
| Practice Telephone | 3365990106 |
| Practice Fax Number | 3365975788 |
| Mailing Telephone | 3365990106 |
| Mailing Fax Number | 3365975788 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2007-09-24 |
| 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 | NH0265 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 0091C | 01 |
| NC | 3405311 | 05 | |
| NC | 3406199 | 05 |
| Street Address |
901 RIDGE RD |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104471531 | Liberty Healthcare Group, LLC | Assisted Living Facility | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2019-08-02 |
| 1659930212 | Ceyonne S Harrison | Occupational Therapy Assistant | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2019-06-07 |
| 1740741875 | Jenna Marie Kutchman | Occupational Therapist | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2019-03-29 |
| 1295234680 | Megan Elizabeth Langley | Physical Therapy Assistant | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2018-02-12 |
| 1770090920 | Rebecca Jean Baptiste | Occupational Therapy Assistant | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2018-01-09 |
| 1154851152 | Timothy Lee Smith | Physical Therapy Assistant | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2017-06-13 |
| 1356792543 | Lillian Hollars | Physical Therapy Assistant | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2016-06-29 |
| 1083092555 | Leanne Thornburg | Physical Therapy Assistant | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2015-05-15 |
| 1538592860 | Benedict John Stover | Physical Therapy Assistant | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2013-08-09 |
| 1366880445 | Holly Williams | Speech-Language Pathologist | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2013-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786783 | Caitlin Elissa Seidler | Physician Assistant | 910 N Madison Blvd Ste B, Roxboro, NC 27573 | 2018-10-21 |
| 1467821801 | Iris W Jackola | Nurse Practitioner | 796 Doctor's Court, Roxboro, NC 27573 | 2015-09-16 |
| 1568897213 | Person County Group Homes, Inc. | Community/Behavioral Health | 607 Henry Street, Roxboro, NC 27573 | 2013-09-12 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1932445749 | Ronnie Lee Chandler | Pharmacist | 109 North Main St., Roxboro, NC 27573 | 2012-12-26 |
| 1154559581 | Roxboro Medaccess Primary Care | Clinic/Center | 3762 Durham Road, Roxboro, NC 27573 | 2009-06-24 |
| 1699922302 | Bruce Wayne Walsh | Counselor | 355 C1 S. Madison Blvd, Roxboro, NC 27573 | 2008-08-25 |
| 1033232020 | Person County Department of Social Services | Durable Medical Equipment & Medical Supplies | 355-b South Madison Blvd, Roxboro, NC 27573 | 2007-04-06 |
| 1417095886 | Thomas Jones Day Jr. | Dentist | 407 North Main St, Roxboro, NC 27573 | 2007-02-01 |
| 1578622288 | Corey Wayne Wilson | Dentist | 112 West Barden Street, Roxboro, NC 27573 | 2006-12-08 |
| Find all providers in zip 27573 | ||||
| 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 |
|---|---|---|---|---|
| 1942583752 | Dlp Person Memorial Hospital LLC | Skilled Nursing Facility | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2011-09-28 |
| 1053370833 | Reginald L. Harris Annex | Skilled Nursing Facility | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2006-03-21 |
| 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.