CITADEL ELIZABETH CITY LLC (NPI# 1194381681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194381681 |
| Entity Type | Organization |
| Organization Name | CITADEL ELIZABETH CITY LLC |
| Practice Address |
901 Halstead Blvd Elizabeth City NC 27909-6920 |
| Practice Telephone | 2523380137 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-06-27 |
| Authorized Official Name | BATYA GORELICK (VP OF ADMINISTRATIVE SERVICECS) |
| Authorized Official Telephone | 2523380137 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CITADEL ELIZABETH CITY LLC, THE | 901 Halstead Blvd, Elizabeth City, NC 27909-6920 |
| Street Address |
901 HALSTEAD BLVD |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-6920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053423913 | Kindred Nursing Centers East, L.L.C. | Skilled Nursing Facility | 901 Halstead Blvd, Elizabeth City, NC 27909-6920 | 2006-08-31 |
| 1275952616 | Jubeth Concepcion | Physical Therapist | 901 Halstead Blvd, Elizabeth City, NC 27909-6920 | 2014-04-14 |
| 1265721484 | Lauri Ann Cuozzo | Occupational Therapy Assistant | 901 Halstead Blvd, Elizabeth City, NC 27909-6920 | 2011-03-29 |
| 1275708976 | Lisa L Harris | Physical Therapy Assistant | 901 Halstead Blvd, Elizabeth City, NC 27909-6920 | 2008-04-24 |
| 1326213059 | Jennie L Roach | Occupational Therapist | 901 Halstead Blvd, Elizabeth City, NC 27909-6920 | 2008-04-24 |
| 1881869519 | Laura Marguerite Crummey | Physical Therapist | 901 Halstead Blvd, Elizabeth City, NC 27909-6920 | 2008-04-24 |
| 1790888501 | Brian Leslie Wallace | Physical Therapist | 901 Halstead Blvd, Elizabeth City, NC 27909-6920 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| 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 |
|---|---|---|---|---|
| 1538684212 | Eagle Acquisition Vi LLC | Skilled Nursing Facility | 901 S Halstead Blvd., Elizabeth City, NC 27909-6920 | 2017-08-03 |
| 1053423913 | Kindred Nursing Centers East, L.L.C. | Skilled Nursing Facility | 901 Halstead Blvd, Elizabeth City, NC 27909-6920 | 2006-08-31 |
| 1730184102 | Carolina Adventist Retirement Systems Inc | Skilled Nursing Facility | 1075 Us Highway 17 S, Elizabeth City, NC 27909-7628 | 2005-06-14 |
| 1952766271 | Elizabeth City Health and Rehabilitation, LLC | Skilled Nursing Facility | 1075 Us Highway 17 S, Elizabeth City, NC 27909-7628 | 2015-12-31 |
| 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 |
| 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 |
| 1205360401 | Lindsey Stalcup | Skilled Nursing Facility | 1510 Hebron Street, Hendersonville, NC 28739 | 2017-04-13 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
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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.