SHANGRI-LA OF BUNCOMBE INC. (NPI# 1063543882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063543882 |
| Entity Type | Organization |
| Organization Name | SHANGRI-LA OF BUNCOMBE INC. |
| Other Organization Name | SHANGRI-LA FAMILY CARE HOME # 2 |
| Practice Address |
113 Roberts Rd Weaverville NC 28787-6305 |
| Practice Telephone | 8286452548 |
| Practice Fax Number | 8286457051 |
| Mailing Telephone | 8286452548 |
| Mailing Fax Number | 8286457051 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. GERALDINE BRINKLEY PIKE (ADMINISTRATOR) |
| Authorized Official Telephone | 8286452548 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FCL-011-059 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7802161 | 05 |
| Other Name | Type Code |
|---|---|
| shangri-la family care home # 2 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841315991 | Shangri-la of Buncombe Inc. | Custodial Care Facility | 113 Roberts Rd, Weaverville, NC 28787-6305 | 2007-03-20 |
| Street Address |
113 ROBERTS RD |
| City | WEAVERVILLE |
| State | NC |
| Zip Code | 28787-6305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841315991 | Shangri-la of Buncombe Inc. | Custodial Care Facility | 113 Roberts Rd, Weaverville, NC 28787-6305 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134691389 | Fine Psychological Associates,pa | Psychologist | 392 Dula Springs Rd, Weaverville, NC 28787 | 2018-12-28 |
| 1548757438 | Mountainview Recovery, Inc | Clinic/Center | 108 Monticello Rd Ste 400, Weaverville, NC 28787 | 2018-04-17 |
| 1396196846 | Kelli Revels | Counselor | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787 | 2016-06-27 |
| 1417294992 | Jane Adams Crowe | Pharmacist | 121 Monticello Rd., Weaverville, NC 28787 | 2013-01-03 |
| 1669724233 | Sisters of Mercy Urgent Care, Inc | Durable Medical Equipment & Medical Supplies | 61 Weaver Blvd Ste 105, Weaverville, NC 28787 | 2012-10-08 |
| 1821347246 | Michael Forrest Mcguire | Counselor | 1057 Lower Flat Creek Road, Weaverville, NC 28787 | 2012-08-30 |
| 1730445909 | Mary Elizabeth Hemphill | Speech-Language Pathologist | 975 Reems Creek Road, Weaverville, NC 28787 | 2012-04-02 |
| 1467724633 | Ann Stuart | Veterinarian | 68 North Main Street, Weaverville, NC 28787 | 2012-02-03 |
| 1174829865 | Melissa Mcminn | Counselor | 901 Old Mars Hill Hwy, Weaverville, NC 28787 | 2011-01-28 |
| 1245557487 | Michael Barry Beckerman | Optometrist | 6 Weaverville Plaza, Weaverville, NC 28787 | 2010-04-28 |
| Find all providers in zip 28787 | ||||
| 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 |
|---|---|---|---|---|
| 1841315991 | Shangri-la of Buncombe Inc. | Custodial Care Facility | 113 Roberts Rd, Weaverville, NC 28787-6305 | 2007-03-20 |
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|---|---|---|---|---|
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| 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 |
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| 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 | WEAVERVILLE |
| Zip Code | 28787 |
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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.