SENIOR CARE CAROLINAS (NPI# 1104361518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104361518 |
| Entity Type | Organization |
| Organization Name | SENIOR CARE CAROLINAS |
| Practice Address |
9640 Gilead Grove Rd Huntersville NC 28078-2289 |
| Practice Telephone | 7044735263 |
| Mailing Telephone | 7044735263 |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |
| Authorized Official Name | MELISSA LYNCH (OWNER) |
| Authorized Official Telephone | 7044735263 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | FCL-060-145 | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245775576 | Senior Care Carolinas | Custodial Care Facility | 9434 Shepparton Dr, Huntersville, NC 28078-9331 | 2016-12-22 |
| 1144764929 | Senior Care Carolinas | Custodial Care Facility | 16401 Grapperhall Dr, Huntersville, NC 28078-8753 | 2016-12-13 |
| Street Address |
9640 GILEAD GROVE RD |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078-2289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883170 | Vision of Therapeutic Development, Inc. | Residential Treatment Facility, Physical Disabilities | 35 Southern Village Dr, Roxboro, NC 27573-2516 | 2019-10-24 |
| 1144760844 | Tjt Family Home | Residential Treatment Facility, Physical Disabilities | 116 Leanne Dr, Greenville, NC 27858-8126 | 2017-02-28 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1417329749 | Troy Leigh Lockamy | Residential Treatment Facility, Physical Disabilities | 300 Meredith Dr, Durham, NC 27713-2282 | 2015-10-26 |
| 1689044638 | April Campbell Lee | Residential Treatment Facility, Physical Disabilities | 3204 Huntleigh Dr, Raleigh, NC 27604-3310 | 2015-10-03 |
| 1538545025 | Viktoriya Semenova | Residential Treatment Facility, Physical Disabilities | 1405 Falls Church Rd, Raleigh, NC 27609-4015 | 2015-08-06 |
| 1356744932 | Z & M Residential Villa 1 | Residential Treatment Facility, Physical Disabilities | 10298 Pasture Rd, Middlesex, NC 27557-7200 | 2014-09-26 |
| 1841608866 | Noa Human Services LLC 3 | Residential Treatment Facility, Physical Disabilities | 1847 Waycross Drive, Winston Salem, NC 27106 | 2014-07-23 |
| 1831527233 | Audrey F Jessup | Residential Treatment Facility, Physical Disabilities | 1471 Deer Rd, Mt Airy, NC 27030-1471 | 2013-10-22 |
| 1194150417 | Azalea Garden | Residential Treatment Facility, Physical Disabilities | 413 Culvert St, Apex, NC 27502-1731 | 2013-09-05 |
| Find all providers with the same taxonomy | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
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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.