PROVIDENCE REHABILITATION AND HOSPICE SERVICES (NPI# 1245763853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245763853 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE REHABILITATION AND HOSPICE SERVICES |
| Practice Address |
2515 Rodgers School Rd Williamston NC 27892-8246 |
| Mailing Address |
4915 Arendell St Suite J-#323 Morehead City NC 28557-2659 |
| Practice Telephone | 8002791455 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |
| Authorized Official Name | SIMONE GARDNER (CEO) |
| Authorized Official Telephone | 2522178487 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251F00000X | Home Infusion | Agencies | ||
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
2515 RODGERS SCHOOL RD |
| City | WILLIAMSTON |
| State | NC |
| Zip Code | 27892-8246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844388 | A Ray of Hope Enterprise LLC | Counselor | 115 E. Main St, Williamston, NC 27892 | 2019-08-01 |
| 1689145476 | Michael Thomas Parrella | Physician Assistant | 2150, 310 South Mccaskey Road, Williamston, NC 27892 | 2018-12-06 |
| 1285136762 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 1227 Brentway Ave, Williamston, NC 27892 | 2018-03-01 |
| 1528443843 | Jeanette Ruffin | Counselor | 223 Faith Works Community Svcs, Inc, Williamston, NC 27892 | 2015-07-28 |
| 1578719712 | Martin County Residential Services | Community/Behavioral Health | 6003 W. Main Street, Williamston, NC 27892 | 2008-08-07 |
| 1962662577 | Otis Benjamin Burnett Iv | Anesthesiology | 310 South Mckaskey Rd, Williamston, NC 27892 | 2008-06-17 |
| 1659543932 | Divine Intervention for Youth Inc. | Community/Behavioral Health | 203 Green Street, Williamston, NC 27892 | 2008-03-27 |
| 1568645521 | Earle Eugene Barnard | Physical Therapist | 115 West Boulevard, Williamston, NC 27892 | 2007-12-13 |
| 1124168141 | Martin County Residential Services Inc. | Case Manager/Care Coordinator | 6003 West Main Street, Williamston, NC 27892 | 2007-02-07 |
| 1962551374 | David T Marshburn | Dentist | 1025 Harrisway Drive, Williamston, NC 27892 | 2007-01-09 |
| Find all providers in zip 27892 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396015384 | Daring To Achieve | Home Health | 115 E Main St Ste 9, Williamston, NC 27892-2482 | 2012-01-06 |
| 1912224155 | Daring To Achieve, Inc | Home Health | 19254 Us Highway 64, Williamston, NC 27892-8103 | 2010-04-28 |
| 1528239381 | Superior Home Health Care,inc. | Home Health | 105 W. Main Street, Williamston, NC 27892-0372 | 2008-03-19 |
| 1306919139 | Martin-tyrrell-washingotn District Health Department | Home Health | 243 Green St, Williamston, NC 27892-2000 | 2006-11-17 |
| 1093757759 | United Home Health Care, Inc. | Home Health | 412 Washington St, Williamston, NC 27892-2726 | 2006-06-10 |
| 1881219988 | Grace and Mercy Home Care Inc. | Home Health | 115 E Main St Ste 18, Williamston, NC 27892-2482 | 2020-06-15 |
| 1811256969 | Dedicated Home Care, Inc | Home Health | 1910 Big Mill Rd, Williamston, NC 27892-7533 | 2012-05-10 |
| 1104185255 | Dedicated Home Care, Inc | Home Health | 1910 Big Mill Rd, Williamston, NC 27892-7533 | 2012-05-10 |
| 1194007377 | New Beginnings Home Health Care | Home Health | 105 E Main St, Williamston, NC 27892-2417 | 2011-09-14 |
| 1245457357 | Faith Works Home Health Care | Home Health | 223 Washington St, Williamston, NC 27892-2437 | 2007-04-19 |
| Find all providers in WILLIAMSTON | ||||
| City | WILLIAMSTON |
| Zip Code | 27892 |
Please comment or provide details below to improve the information on PROVIDENCE REHABILITATION AND HOSPICE SERVICES.
| 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.