GEORGANN Y. MATHIS (NPI# 1285964155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285964155 |
| Entity Type | Organization |
| Organization Name | GEORGANN Y. MATHIS |
| Other Organization Name | WHITE OAK FAMILY CARE HOME II |
| Practice Address |
47 Piney Haven Dr Bakersville NC 28705-8140 |
| Practice Telephone | 8286881570 |
| Practice Fax Number | 8286882965 |
| Mailing Telephone | 8286881570 |
| Mailing Fax Number | 8286882965 |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |
| Authorized Official Name | MRS. GEORGANN YEAGER MATHIS (ADMINISTRATOR) |
| Authorized Official Telephone | 8286882965 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FCL 061010 | NC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| White Oak Family Care Home II | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275754491 | Georgann Y. Mathis | Custodial Care Facility | 244 Mcmahan Ln, Bakersville, NC 28705-8178 | 2007-05-02 |
| Street Address |
47 PINEY HAVEN DR |
| City | BAKERSVILLE |
| State | NC |
| Zip Code | 28705-8140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467650036 | Pittman Family Care | Lodging | 47 Piney Haven Dr, Bakersville, NC 28705-0525 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747872 | Jordon Baker Acquisitions, Inc. | Pharmacy | 604 S Hwy 226, Bakersville, NC 28705 | 2020-10-16 |
| 1700122108 | Mitchell County Transportation Authority | Non-emergency Medical Transport (VAN) | 73 Crimson Laurel Circle, Suite 7, Bakersville, NC 28705 | 2012-12-13 |
| 1841444783 | Johnson Enterprises of Shelby Inc | Assisted Living Facility | 409 Harrison Ave, Yadkinville, NC 28705 | 2008-11-05 |
| 1609903301 | Bakersville Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 580 South Hwy 226, Bakersville, NC 28705 | 2007-02-28 |
| 1710075759 | Blue Ridge Hospital System Inc | General Acute Care Hospital | 89 North Mitchell Ave, Bakersville, NC 28705 | 2006-10-11 |
| 1467912782 | Anthony Lawson Hudson | Pharmacist | 580 South Hwy 226, Bakersville, NC 28705 | 2019-03-22 |
| 1477113975 | Alex Colby Green | Dentist | 89 N Mitchell Ave, Bakersville, NC 28705-6502 | 2019-06-17 |
| 1932550381 | Nicole Allen | Family Medicine | 86 N Mitchell Ave Ste 510, Bakersville, NC 28705-6502 | 2016-06-28 |
| 1912972860 | Florence Jeanette Dellinger | Nurse Practitioner | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2006-02-22 |
| 1790384105 | Cassie York | Counselor | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2020-10-19 |
| Find all providers in zip 28705 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255542841 | B and L Family Care Home | Custodial Care Facility | 842 Cane Creek Rd, Bakersville, NC 28705-9447 | 2007-05-24 |
| 1942320759 | Bear Creek Manor II | Custodial Care Facility | 1501 Bear Creek Rd, Bakersville, NC 28705-8509 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSVILLE |
| Zip Code | 28705 |
Please comment or provide details below to improve the information on GEORGANN Y. MATHIS.
| 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.