SPRUCE LTC GROUP, LLC (NPI# 1235175175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235175175 |
| Entity Type | Organization |
| Organization Name | SPRUCE LTC GROUP, LLC |
| Other Organization Name | BETHANY WOODS NURSING AND REHABILITATION CENTER |
| Practice Address |
33426 Old Salisbury Rd Albemarle NC 28001-8342 |
| Mailing Address |
Po Box 1250 33426 Old Salisbury Road Albemarle NC 28002-1250 |
| Practice Telephone | 7049831195 |
| Practice Fax Number | 7049820446 |
| Mailing Telephone | 7049831195 |
| Mailing Fax Number | 7049820446 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | KAREN G MCDANIEL (PRESIDENT) |
| Authorized Official Telephone | 2525239094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0462 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3425146 | 05 | |
| NC | 3406509 | 05 | |
| NC | BLUE CROSS/BLUE SHIELD | 0096L | 01 |
| Other Name | Type Code |
|---|---|
| Bethany Woods Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710312079 | Spruce Ltc Group, LLC | Skilled Nursing Facility | 10506 Clear Creek Commerce Dr, Mint Hill, NC 28227-7078 | 2013-09-05 |
| 1689603060 | Spruce Ltc Group, LLC | Skilled Nursing Facility | 769 Old Cheraw Hwy, Hamlet, NC 28345 | 2006-06-30 |
| 1700812146 | Spruce Ltc Group, LLC | Skilled Nursing Facility | 403 Crestview Ave Sw, Wilson, NC 27893-4505 | 2006-06-25 |
| 1982640785 | Spruce Ltc Group, LLC | Skilled Nursing Facility | 706 Pineywood Rd, Thomasville, NC 27360-2753 | 2006-06-21 |
| Street Address |
33426 OLD SALISBURY RD |
| City | ALBEMARLE |
| State | NC |
| Zip Code | 28001-8342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376022236 | Lauren Hester | Speech-Language Pathologist | 33426 Old Salisbury Rd, Albemarle, NC 28001-8342 | 2018-08-11 |
| 1285002253 | Anusha Madanamohan | Physical Therapist | 33426 Old Salisbury Rd, Albemarle, NC 28001-8342 | 2015-09-08 |
| 1487819181 | Angela Talotta | Occupational Therapy Assistant | 33426 Old Salisbury Rd, Albemarle, NC 28001-8342 | 2008-07-22 |
| 1457515819 | Sharon Davis | Speech-Language Pathologist | 33426 Old Salisbury Rd, Albemarle, NC 28001-8342 | 2008-07-15 |
| 1245491406 | Donna K Faust | Physical Therapy Assistant | 33426 Old Salisbury Rd, Albemarle, NC 28001-8342 | 2008-06-20 |
| 1942467824 | Jennifer Simpson Chamley | Physical Therapy Assistant | 33426 Old Salisbury Rd, Albemarle, NC 28001-8342 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649835828 | Ashley M Duncan | Physician Assistant | Atrium Stanly Emergent Department, 320 Yadkin St, Albermarle, NC 28001 | 2019-05-03 |
| 1659870616 | Crystal Hamilton | Home Health Aide | 1741 West Main Street, Albemarble, NC 28001 | 2018-02-06 |
| 1548703358 | J. Lemmons, Dds and Associates, Pa | Clinic/Center | 319 North Second Street, Albemarle, NC 28001 | 2016-11-28 |
| 1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
| 1053785220 | Novant Medical Group, Inc. | Surgery | 1420 Us Highway North 52, Suite B, Albermarle, NC 28001 | 2015-11-25 |
| 1942674775 | The Charlotte-mecklenburg Hospital Authority | Skilled Nursing Facility | 625 Bethany Road, Albemarle, NC 28001 | 2015-11-17 |
| 1508248279 | Athena Vu Dds Pllc. | Dentist | 1122 North 6th Street, Albemarle, NC 28001 | 2015-06-18 |
| 1629482054 | Erika Shew | Pharmacist | 835 North Carolina 24, Albemarle, NC 28001 | 2014-06-13 |
| 1558794974 | Ted Allen Thompson Jr. | Pharmacist | 835 Hwy 24-27, Albemarle, NC 28001 | 2013-08-21 |
| 1912349606 | Elite Care Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 33973 Lowder Reunion Rd, Albemarle, NC 28001 | 2013-07-23 |
| Find all providers in zip 28001 | ||||
| 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 |
|---|---|---|---|---|
| 1942674775 | The Charlotte-mecklenburg Hospital Authority | Skilled Nursing Facility | 625 Bethany Road, Albemarle, NC 28001 | 2015-11-17 |
| 1932135381 | Forrest Oakes Healthcare LLC | Skilled Nursing Facility | 620 Heathwood Dr, Albemarle, NC 28001-8604 | 2006-06-25 |
| 1396740635 | Stanly Manor Inc. | Skilled Nursing Facility | 625 Bethany Rd, Albemarle, NC 28001-8523 | 2005-06-14 |
| 1215931977 | Lutheran Home- Albemarle, Inc. | Skilled Nursing Facility | 24724 Us Highway 52 S, Albemarle, NC 28001-8179 | 2005-06-10 |
| 1891346797 | Ahsnf, Inc | Skilled Nursing Facility | 625 Bethany Rd, Albemarle, NC 28001-8523 | 2019-09-23 |
| 1518313097 | Rebecca L Hobbs | Skilled Nursing Facility | 620 Heathwood Dr, Albemarle, NC 28001-8604 | 2016-05-13 |
| 1497123285 | Whitney Payne | Skilled Nursing Facility | 620 Heathwood Dr, Albemarle, NC 28001-8604 | 2015-09-10 |
| 1831367416 | Stanly Manor | Skilled Nursing Facility | 625 Bethany Rd, Albemarle, NC 28001-8523 | 2008-02-15 |
| 1700054384 | Stanly Manor | Skilled Nursing Facility | 625 Bethany Rd, Albemarle, NC 28001-8523 | 2008-02-15 |
| 1518135193 | Stanly Manor | Skilled Nursing Facility | 625 Bethany Rd, Albemarle, NC 28001-8523 | 2008-02-15 |
| Find all providers in ALBEMARLE | ||||
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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.