OAK GROVE HEALTHCARE LLC (NPI# 1093754459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093754459 |
| Entity Type | Organization |
| Organization Name | OAK GROVE HEALTHCARE LLC |
| Other Organization Name | OAK GROVE HEALTHCARE CENTER |
| Practice Address |
518 Old Us 221 Hwy Rutherfordton NC 28139-8670 |
| Practice Telephone | 8282877655 |
| Practice Fax Number | 8282874459 |
| Mailing Telephone | 8282877655 |
| Mailing Fax Number | 8282874459 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | KENNETH USSERY (VP) |
| Authorized Official Telephone | 4075711550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0566 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1093754459 | 05 |
| Other Name | Type Code |
|---|---|
| Oak Grove Healthcare Center | Doing Business As Name - Organization |
| Street Address |
518 OLD US 221 HWY |
| City | RUTHERFORDTON |
| State | NC |
| Zip Code | 28139-8670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548745193 | Genesis Rehab Services | Occupational Therapy Assistant | 518 Old Us 221 Hwy, Rutherfordton, NC 28139-8670 | 2018-09-29 |
| 1902382179 | Kristin E Cross | Speech-Language Pathologist | 518 Old Us 221 Hwy, Rutherfordton, NC 28139-8670 | 2018-07-11 |
| 1801308507 | Jessica L Right | Physical Therapy Assistant | 518 Old Us 221 Hwy, Rutherfordton, NC 28139-8670 | 2017-11-02 |
| 1821509571 | Theresa Johnson | Physical Therapy Assistant | 518 Old Us 221 Hwy, Rutherfordton, NC 28139-8670 | 2017-10-21 |
| 1861934986 | Julia Hawkins | Occupational Therapy Assistant | 518 Old Us 221 Hwy, Rutherfordton, NC 28139-8670 | 2016-11-07 |
| 1609260389 | Jennifer Paige Causby | Physical Therapy Assistant | 518 Old Us 221 Hwy, Rutherfordton, NC 28139-8670 | 2015-03-20 |
| 1225473689 | Miranda Clara Starnes | Occupational Therapy Assistant | 518 Old Us 221 Hwy, Rutherfordton, NC 28139-8670 | 2013-04-29 |
| 1417217696 | Sarah Ann Koenig | Physical Therapy Assistant | 518 Old Us 221 Hwy, Rutherfordton, NC 28139-8670 | 2012-05-22 |
| 1467724070 | Ann Morgan Lattimore | Occupational Therapist | 518 Old Us 221 Hwy, Rutherfordton, NC 28139-8670 | 2012-01-30 |
| 1548440738 | Ariel Peji Ronquillo | Physical Therapist | 518 Old Us 221 Hwy, Rutherfordton, NC 28139-8670 | 2007-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821428269 | Onas Place 1 | Day Training, Developmentally Disabled Services | 127 Gabriel Street, Rutherfordton, NC 28139 | 2013-11-21 |
| 1821297821 | H. Vanderwal Inc. | Assisted Living Facility | 401 Us 221 S Hwy, Rutherfordton, NC 28139 | 2007-07-11 |
| 1013034974 | Jay R Mee | Massage Therapist | 244 Charlotte Road, Rutherfordton, NC 28139 | 2007-03-24 |
| 1386752509 | William Scott Jordan | Dentist | 334 N Main Street, Rutherfordton, NC 28139 | 2006-08-28 |
| 1194833855 | Rutherford Anesthesiology Associates, LLP | Anesthesiology | 288 S. Ridgecrest Avenue, Rutherfordton, NC 28139 | 2006-08-25 |
| 1316983745 | Thomas Vance Bolling | Surgery | 330 Nc Highway 108, Rutherfordton, NC 28139 | 2006-06-22 |
| 1265481865 | Kenneth Glen Miller-kallenbach | Psychiatry & Neurology | 182 West Court St, Rutherfordton, NC 28139 | 2006-05-09 |
| 1982674966 | Franklin James Mooring | Radiology | 288 South Ridgecrest, Rutherfordton, NC 28139 | 2006-01-24 |
| 1346578580 | Mission Medical Associates Inc | Internal Medicine | 128 Dr Henry Norris Dr, Rutherfordton, NC 28139 | 2009-11-30 |
| 1497907497 | Sydna Elizabeth Bougere | Counselor | 356 Charlotte Rd, Rutherfordton, NC 28139 | 2008-10-21 |
| Find all providers in zip 28139 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639204282 | White Oak Manor Rutherfordton Inc | Skilled Nursing Facility | 188 Oscar Justice Rd, Rutherfordton, NC 28139-8110 | 2007-02-23 |
| 1609886159 | Willow Ridge of Nc, LLC | Skilled Nursing Facility | 237 Tryon Rd, Rutherfordton, NC 28139-3058 | 2006-08-08 |
| 1629425491 | Willow Ridge Healthcare LLC | Skilled Nursing Facility | 237 Tryon Rd, Rutherfordton, NC 28139-3058 | 2016-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063756 | Cary Senior Housing I Opco, LLC | Skilled Nursing Facility | 221 Brightmore Dr, Cary, NC 27518-8145 | 2019-10-04 |
| 1629535455 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 621 Chestnut Ridge Pkwy, Blowing Rock, NC 28605-8962 | 2019-02-28 |
| 1871063214 | Vero Health X, LLC | Skilled Nursing Facility | 417 Cloverdale Rd, Sylva, NC 28779-0679 | 2018-11-28 |
| 1821573809 | Carolina Bay Healthcare Center of Wilmington, LLC | Skilled Nursing Facility | 740 Diamond Shoals Rd, Wilmington, NC 28403-4388 | 2018-09-26 |
| 1093228397 | Bellarose Nursing and Rehab Center, Inc. | Skilled Nursing Facility | 200 Bellarose Lake Way, Garner, NC 27529-7049 | 2017-11-08 |
| 1558872333 | Brunswick Health & Rehab Center, LLC | Skilled Nursing Facility | 9600 No 5 School Rd Nw, Ash, NC 28420-2122 | 2017-10-19 |
| 1538684212 | Eagle Acquisition Vi LLC | Skilled Nursing Facility | 901 S Halstead Blvd., Elizabeth City, NC 27909-6920 | 2017-08-03 |
| 1982130811 | Ashton Health and Rehabilitation, LLC | Skilled Nursing Facility | 5533 Burlington Rd, Mc Leansville, NC 27301-9622 | 2017-05-11 |
| 1831625037 | Supplemental Healthcare | Skilled Nursing Facility | 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 | 2017-05-08 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
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| City | RUTHERFORDTON |
| Zip Code | 28139 |
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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.