SENIOR TOTAL LIFE CARE (NPI# 1083058598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083058598 |
| Entity Type | Organization |
| Organization Name | SENIOR TOTAL LIFE CARE |
| Practice Address |
1875 Remount Rd Gastonia NC 28054-7413 |
| Practice Telephone | 7048740600 |
| Practice Fax Number | 7048654785 |
| Mailing Telephone | 7048740600 |
| Mailing Fax Number | 7048654785 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-11-26 |
| Authorized Official Name | RICK RICHARDS (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7048740602 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | Agencies |
| Street Address |
1875 REMOUNT RD |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-7413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036510 | Victoria M Caudill | Nurse Practitioner | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2005-07-11 |
| 1477049708 | Michele Lynn Rodriguez | Nurse Practitioner | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2018-07-10 |
| 1821526526 | Marion Z Lewis | Nurse Practitioner | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2017-05-25 |
| 1063963155 | Seong-hye Kim | Nurse Practitioner | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2016-10-24 |
| 1306211156 | Kelley Privett Thompson | Nurse Practitioner | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2015-12-04 |
| 1366844581 | Gaston Family Health Services Inc | Pharmacy | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2014-09-18 |
| 1578980405 | Kelly Allen | Pharmacist | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2014-03-28 |
| 1205251766 | Gaston Family Health Services, Inc. | Clinic/Center | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2014-02-20 |
| 1932366028 | Anita Hopkins Godwin | Physician Assistant | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2008-05-18 |
| 1265429948 | Judith Robinson Maloney | Nurse Practitioner | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2005-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417490202 | Angels At Heart Assisted Living | PACE Provider Organization | 140 Kent Road, Salisbury, NC 28147 | 2016-11-28 |
| 1376986679 | Piedmont Health Services, Inc | PACE Provider Organization | 220 Chatham Business Dr, Pittsboro, NC 27312-5603 | 2013-04-17 |
| 1730439571 | Pace of The Southern Piedmont | PACE Provider Organization | 6133 The Plaza, Charlotte, NC 28215 | 2012-09-19 |
| 1093075905 | Carolina Seniorcare | PACE Provider Organization | 802 E Center St, Lexington, NC 27292-4402 | 2012-05-24 |
| 1114246956 | Mayo's Loving Care | PACE Provider Organization | 105 Krista Ln, Rocky Mount, NC 27803-5228 | 2010-05-19 |
| 1447485396 | Lift Day Activity Center | PACE Provider Organization | 701 E Young Street, Rolesville, NC 27571 | 2009-05-21 |
| 1932302361 | Dunn's House of Love and Devoted Care, Inc. | PACE Provider Organization | 1846 E Trail Dr Se, 1812 Birchwood Dr., Wilson, NC 27893-8732 | 2007-06-05 |
| 1427692680 | Carepartners Rehabilitation Hospital, Lllp | PACE Provider Organization | 286 Overlook Rd, Asheville, NC 28803-3317 | 2019-10-31 |
| 1063977338 | Ricas Angels Home Health Care LLC | PACE Provider Organization | 221 N Elm St, Lumberton, NC 28358-5647 | 2019-01-31 |
| 1659898906 | Mission Hospital, Inc | PACE Provider Organization | 286 Overlook Rd, Asheville, NC 28803-3317 | 2017-08-28 |
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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.