PRIME CARE ONE LLC (NPI# 1063705382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063705382 |
| Entity Type | Organization |
| Organization Name | PRIME CARE ONE LLC |
| Other Organization Name | BRIGHTEN GARDENS OF RALEIGH |
| Practice Address |
3101 Duraleigh Rd Raleigh NC 27612-4189 |
| Practice Telephone | 9195711123 |
| Mailing Telephone | 9195711123 |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2013-08-27 |
| Authorized Official Name | JEFF BASSETT (EXEC DIRECTOR) |
| Authorized Official Telephone | 9195711123 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL-092-024 | NC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Brighten Gardens of Raleigh | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932297553 | Prime Care One LLC | Skilled Nursing Facility | 7801 Airport Pulling Rd N, Naples, FL 34109-1717 | 2006-10-10 |
| 1811230279 | Prime Care One LLC | Assisted Living Facility | 2601 Reynolda Rd, Winston Salem, NC 27106-3863 | 2013-04-03 |
| Street Address |
3101 DURALEIGH RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-4189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023240926 | Randy Zabala Agapito | Occupational Therapist | 3101 Duraleigh Rd, Raleigh, NC 27612-4189 | 2009-08-12 |
| 1194351213 | Ashton Dorsey | Occupational Therapist | 3101 Duraleigh Rd, Raleigh, NC 27612-4189 | 2020-03-20 |
| 1205477460 | Elizabeth Abbott | Occupational Therapy Assistant | 3101 Duraleigh Rd, Raleigh, NC 27612-4189 | 2019-09-30 |
| 1477104206 | Brian Cloninger | Physical Therapy Assistant | 3101 Duraleigh Rd, Raleigh, NC 27612-4189 | 2019-09-23 |
| 1902321094 | Kelli Loper | Occupational Therapist | 3101 Duraleigh Rd, Raleigh, NC 27612-4189 | 2017-08-09 |
| 1356729180 | Johanna Ludwig | Occupational Therapist | 3101 Duraleigh Rd, Raleigh, NC 27612-4189 | 2015-05-13 |
| 1720487887 | Cpl Premier Therapy LLC | Clinic/Center | 3101 Duraleigh Rd, Raleigh, NC 27612-4189 | 2014-08-14 |
| 1871910984 | Lauren Schwartz | Speech-Language Pathologist | 3101 Duraleigh Rd, Raleigh, NC 27612-4189 | 2014-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| 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 |
|---|---|---|---|---|
| 1871064832 | Rosie's Care Home Inc | Assisted Living Facility | 3604 Neuse Estates Dr, Raleigh, NC 27604-6071 | 2018-12-16 |
| 1831668482 | Hcp Raleigh Nc Opco, LLC | Assisted Living Facility | 4801 Edward Mills Rd., Raleigh, NC 27612-4417 | 2018-11-13 |
| 1235373606 | Dana Jackson Barnes | Assisted Living Facility | 1616 Riverknoll Dr, Raleigh, NC 27610-4580 | 2009-04-28 |
| 1124262050 | A Good Life Family Care Home | Assisted Living Facility | 4013 Tryon Rd, Raleigh, NC 27606-4209 | 2009-04-22 |
| 1801065602 | Twenty Pack Management Corp. | Assisted Living Facility | 4801 Edwards Mill Rd, Raleigh, NC 27612-4417 | 2008-02-26 |
| 1306041165 | Swift Creek Residential Care | Assisted Living Facility | 5003 Yates Mill Pond Rd, Raleigh, NC 27606-8905 | 2007-06-20 |
| 1841412988 | Falls River Court Memory Care, LLC | Assisted Living Facility | 1130 Alls River Avenue, Raleigh, NC 27614 | 2007-05-02 |
| 1669694709 | Falls River Village Assisted Living, LLC | Assisted Living Facility | 1110 Falls River Avenue, Raleigh, NC 27614 | 2007-05-02 |
| 1124245345 | Helms Cottage # 1 | Assisted Living Facility | 1313 Athens Dr, Raleigh, NC 27606-2424 | 2007-04-19 |
| 1336270958 | Lees Long Term Care Facility Inc. | Assisted Living Facility | 7133 Rock Service Station Rd, Raleigh, NC 27603-8307 | 2007-03-07 |
| Find all providers in RALEIGH | ||||
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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.