SILER CITY OPCO, LLC (NPI# 1053952010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053952010 |
| Entity Type | Organization |
| Organization Name | SILER CITY OPCO, LLC |
| Practice Address |
260 Village Lake Rd Siler City NC 27344-1820 |
| Practice Telephone | 9197424052 |
| Mailing Telephone | 9197424052 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | MS. TRACI MCLAURIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9197424052 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Coventry House of Siler City | Doing Business As Name - Organization |
| Street Address |
260 VILLAGE LAKE RD |
| City | SILER CITY |
| State | NC |
| Zip Code | 27344-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366590614 | Coventry House of Siler City | Assisted Living Facility | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2007-01-05 |
| 1831665561 | Camilya Dixon | Physical Therapy Assistant | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2018-10-20 |
| 1851870117 | Kaitlyn Marks | Occupational Therapy Assistant | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2018-08-08 |
| 1710465547 | Shanna Nicole Gwyn | Occupational Therapy Assistant | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2018-08-02 |
| 1164946323 | Amanda Nicole Maccreery | Physical Therapist | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2017-07-31 |
| 1861920910 | Caroline Elizabeth Irick | Occupational Therapist | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2017-06-01 |
| 1114454295 | Gina Elizabeth Botzis | Speech-Language Pathologist | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2017-05-19 |
| 1790225191 | Elizabeth Nutt | Occupational Therapy Assistant | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2017-03-03 |
| 1568917219 | Angela D Bell | Occupational Therapist | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2016-08-23 |
| 1780076646 | Elizabeth W. Sherouse | Occupational Therapy Assistant | 260 Village Lake Rd, Siler City, NC 27344-1820 | 2015-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881187292 | Jessica Jones Curtis | Social Worker | Auldern Academy, 990 Glovers Grove Church Rd., Siler City, NC 27344 | 2018-06-11 |
| 1629263165 | Dr John R Dykers Jr | General Practice | 401a N Ivey Ave, Siler City, NC 27344 | 2007-09-07 |
| 1295955268 | Donna Whitt | Family Medicine | 163 Medical Park Drive, Suite 210, Siler City, NC 27344 | 2007-05-01 |
| 1952526667 | Nancy Tanguay | Nurse Practitioner | 1002 W Third Street, Siler City, NC 27344 | 2007-04-16 |
| 1205983681 | Edward Lenoir Lowdermilk | Pharmacist | 224 South 10th Avenue, Siler City, NC 27344 | 2007-01-05 |
| 1518041755 | Daniel Paul Skulavik | Physical Therapist | 112 Walmart Supercenter, Siler City, NC 27344 | 2006-10-24 |
| 1346322476 | Wal-mart Stores East, Lp | Technician/Technologist | 14215 U.S. Hwy 64 West, Siler City, NC 27344 | 2006-10-19 |
| 1952492811 | Marcia L Rementer Dmd Pa II | Dentist | 100 Village Lake Road, Siler City, NC 27344 | 2006-09-27 |
| 1447357744 | Chatham Trades, Inc. | Day Training, Developmentally Disabled Services | 909 Alston Bridge Rd, Siler City, NC 27344 | 2006-09-20 |
| 1326082207 | William Don Roscoe Jr. | Optometrist | 14215 Us Hwy 64 West, Siler City, NC 27344 | 2006-06-15 |
| Find all providers in zip 27344 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
| City | SILER CITY |
| Zip Code | 27344 |
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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.