DIXON HOUSE LLC (NPI# 1962537886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962537886 |
| Entity Type | Organization |
| Organization Name | DIXON HOUSE LLC |
| Practice Address |
716 Wall Street Grifton NC 28530-1059 |
| Mailing Address |
Po Box 1059 Grifton NC 28530-1059 |
| Practice Telephone | 2525244028 |
| Practice Fax Number | 2525243739 |
| Mailing Telephone | 2525244028 |
| Mailing Fax Number | 2525243739 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CARLA H GRAY (BUISNESS OFFICE MANAGER) |
| Authorized Official Telephone | 2525244028 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL074033 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7805519 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DIXON HOUSE LLC | 860 West Blackhawk Street, Apartment 2601, Chicago, Il 60642 |
| Street Address |
716 WALL STREET |
| City | GRIFTON |
| State | NC |
| Zip Code | 28530-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235654120 | L&c Family Care Home | Custodial Care Facility | 6347 Fairway Dr, Grifton, NC 28530 | 2017-08-11 |
| 1871034629 | Barbara Pollard | Licensed Practical Nurse | 494 E. Hanrahan Rd, Grifton, NC 28530 | 2017-03-13 |
| 1184975468 | Pitt County Group Home Board for Mentally Retarded, Autistic Persons | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6962 Church St., Grifton, NC 28530 | 2012-09-26 |
| 1205856895 | Hygeia, Inc. | Pharmacy | 512 Queen Street, Grifton, NC 28530 | 2006-07-19 |
| 1093772600 | Physicians East, Pa | Family Medicine | 416 Mccrae Street, Grifton, NC 28530 | 2006-04-27 |
| 1346242187 | Greene County Health Care Incorporated | Clinic/Center | 540 Queen St, Grifton, NC 28530 | 2005-08-11 |
| 1164773065 | Pitt County Group Home Board for Mentally Retarded, Autistic Persons | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6570 Fairway Dr, Grifton, NC 28530-0009 | 2012-10-02 |
| 1841315132 | Pitt County Group Home Board for Mentally Retarded, Autistic Persons | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 560 West Queen St., Grifton, NC 28530-0009 | 2007-03-19 |
| 1407386030 | Simms Assisted Living LLC | Assisted Living Facility | 716 Wall St, Grifton, NC 28530-7035 | 2017-06-15 |
| 1417340688 | Angela Harris | Counselor | 4064 Race Track Rd, Grifton, NC 28530-7304 | 2015-03-12 |
| Find all providers in zip 28530 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407386030 | Simms Assisted Living LLC | Assisted Living Facility | 716 Wall St, Grifton, NC 28530-7035 | 2017-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689104 | B&b Assisted Living Care LLC | Assisted Living Facility | 9461 Us Hwy 710s, Rowland, NC 28383 | 2020-08-10 |
| 1306465745 | Cedar Senior Living, LLC. | Assisted Living Facility | 670 Cedar Lake Ln, Clinton, NC 28328-8986 | 2020-04-15 |
| 1003444258 | Trinity Developmental Center, LLC | Assisted Living Facility | 4027 Franklin Meadows Dr, Matthews, NC 28105-6935 | 2020-03-31 |
| 1114562147 | Taylor Care Group, LLC | Assisted Living Facility | 1188 Bertha Wilson Rd, Blanch, NC 27212-9795 | 2019-11-13 |
| 1710528377 | Grace Village Inc | Assisted Living Facility | 501 River Bend Dr., Granite Falls, NC 28630 | 2019-10-04 |
| 1336799246 | Tieshquanna Ciare Richardson | Assisted Living Facility | 312 Kilgo St, Clayton, NC 27520-1651 | 2019-09-13 |
| 1326695404 | Snh Nc Tenant LLC | Assisted Living Facility | 5920 Mcchesney Dr, Charlotte, NC 28269-6238 | 2019-08-22 |
| 1659928174 | Coastal Pointe Senior Living LLC | Assisted Living Facility | 5220 Ocean Hwy W, Shallotte, NC 28470-4006 | 2019-08-20 |
| 1861046674 | A1a-arc of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd, Dunn, NC 28334-6240 | 2019-07-30 |
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| 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.