PEIDMONT NURSING GROUP INC (NPI# 1023197423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023197423 |
| Entity Type | Organization |
| Organization Name | PEIDMONT NURSING GROUP INC |
| Practice Address |
4642 West Main St Unit # 143 Greensboro NC 27407 |
| Mailing Address |
4642 W Market St Unit # 143 Greensboro NC 27407-1285 |
| Practice Telephone | 3364167057 |
| Practice Fax Number | 3368512557 |
| Mailing Telephone | 3364167057 |
| Mailing Fax Number | 3368512557 |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. ERLINA KEARSE LEWIS (OFFICE MANAGER/CLINICAL SUPERVISOR) |
| Authorized Official Telephone | 3364167057 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 200693 | NC | Agencies |
| Street Address |
4642 WEST MAIN ST UNIT # 143 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425109 | Four Oaks Home Care Services LLC | Home Health | 611 Summit Ave Ste 6, Greensboro, NC 27405-7746 | 2020-07-24 |
| 1699390195 | Life Enhancement Home Care LLC | Home Health | 121 S Elm St Ste 1-a, Greensboro, NC 27401-2601 | 2020-06-10 |
| 1700401593 | Tdc Home Care | Home Health | 1031 Summit Ave Ste S-3, Greensboro, NC 27405-7010 | 2020-06-08 |
| 1538798673 | Yram Home Care LLC | Home Health | 801 Summit Ave Ste 3, Greensboro, NC 27405-7813 | 2020-04-01 |
| 1538799127 | Promise To Care Home Care LLC | Home Health | 2025 Martin Luther King Jr Dr Ste E, Greensboro, NC 27406-3334 | 2020-01-22 |
| 1710539010 | Robland Homecare LLC | Home Health | 1010 Homeland Ave Ste 100, Greensboro, NC 27405-7012 | 2019-07-16 |
| 1386133163 | Carolyns Choice | Home Health | 2 Centerview Dr Ste 41, Greensboro, NC 27407-3708 | 2018-05-07 |
| 1033614151 | Well Care Home Care, Inc | Home Health | 1801 Stanley Road, Suite 325, Greensboro, NC 27407-2644 | 2018-03-29 |
| 1225533714 | Well Care Home Care | Home Health | 1801 Stanley Rd Ste 325, Greensboro, NC 27407-2707 | 2018-03-27 |
| 1982134607 | Uchenna Junior Richards | Home Health | 311 College Rd Unit C, Greensboro, NC 27410-5159 | 2017-06-14 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
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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.