WAKEMED (NPI# 1366418246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366418246 |
| Entity Type | Organization |
| Organization Name | WAKEMED |
| Other Organization Name | WAKEMED ZEBULON/WENDELL OUTPATIENT AND SNF |
| Practice Address |
535 W Gannon Ave Zebulon NC 27597-2599 |
| Practice Telephone | 9193504700 |
| Mailing Telephone | 9193504700 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2010-03-22 |
| Authorized Official Name | MR. MICHAEL D DEVAUGHN (SR VP OF FINANCE AND CFO) |
| Authorized Official Telephone | 9193508000 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | WAKEMED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | H0199 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 340609N | 05 | |
| NC | BLUE CROSS | 0094V | 01 |
| NC | 3405469 | 05 |
| Other Name | Type Code |
|---|---|
| WakeMed Zebulon/Wendell Outpatient and SNF | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987170 | Wakemed | Clinical Medical Laboratory | Wakemed Raleigh Reference, 3000 New Bern Avenue, Raleigh, NC 27610-1295 | 2020-09-21 |
| 1053488346 | Wakemed | Ambulance | 1 Sunnybrook Rd, Raleigh, NC 27610-1807 | 2006-11-29 |
| 1124094008 | Wakemed | Skilled Nursing Facility | 400 W Ransom St, Fuquay Varina, NC 27526-2434 | 2006-02-28 |
| 1114993086 | Wakemed | General Acute Care Hospital | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2006-02-28 |
| 1982210746 | Wakemed | Clinical Medical Laboratory | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2020-09-17 |
| 1912446709 | Wakemed | Pharmacy | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2017-02-14 |
| 1194907717 | Wakemed | Family Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2007-12-05 |
| 1285665521 | Wakemed | Pharmacy | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2006-07-05 |
| 1790752236 | Wakemed | Rehabilitation Unit | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2006-03-03 |
| 1972579837 | Wakemed | Medicare Defined Swing Bed Unit | 3000 New Bern Ave, Raleigh, NC 27610-1295 | 2006-02-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WAKEMED HEALTH AND HOSPITALS | 3000 New Bern Ave Ste G100, Raleigh, NC 27610-1231 |
| North Carolina Corporations | Wakemed Property Services | 3000 New Bern Ave, Raleigh, NC 27610-1295 |
| North Carolina Corporations | WakeMed Specialists Group LLC | 3000 New Bern Avenue, Raleigh, NC 27610 |
| Street Address |
535 W GANNON AVE |
| City | ZEBULON |
| State | NC |
| Zip Code | 27597-2599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235398173 | Carolina Otolaryngology Consultants Pa | Specialist | 535 W Gannon Ave, Zebulon, NC 27597-2509 | 2008-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457668 | Tiffani Morson | Massage Therapist | 15055 Nc 96, Zebulon, NC 27597 | 2020-08-11 |
| 1639692775 | Katherine Skinner | Counselor | 21 Carlyle Rd., Zebulon, NC 27597 | 2017-07-20 |
| 1851703821 | Kimberly Griswold | Pharmacist | 2021 Wynnscott Farm Lane, Zebulon, NC 27597 | 2014-05-27 |
| 1770922502 | Thompson Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1701 West Gannon Avenue, Zebulon, NC 27597 | 2013-06-14 |
| 1780924266 | Jones Outreach Services,llp | Counselor | 700b Pony Road, Zebulon, NC 27597 | 2013-02-21 |
| 1053692806 | Allcare Health Source L.L.C. | Home Health | 806 Arendale, B, Zebulon, NC 27597 | 2011-09-07 |
| 1700104171 | Clearly Speaking, Inc. | Speech-Language Pathologist | 9100 Ashton Glen Dr, Zebulon, NC 27597 | 2010-05-11 |
| 1497975817 | Connie Mullins | Nurse Practitioner | 1002 Dogwood Drive, Zebulon, NC 27597 | 2007-04-26 |
| 1073730370 | Amanda Cottle Kapl | Speech-Language Pathologist | 13270 Brantley Woods Rd, Zebulon, NC 27597 | 2007-04-19 |
| 1578780169 | Heber W. Windley IIi, D.d.s.,m.s.,p.a. | Dentist | 315 Hospital Road, Zebulon, NC 27597 | 2007-04-18 |
| Find all providers in zip 27597 | ||||
| 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 |
|---|---|---|---|---|
| 1164848503 | Zebulon Rehabilitation Center, LLC | Skilled Nursing Facility | 509 W Gannon Ave, Zebulon, NC 27597-2509 | 2014-03-10 |
| 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 |
| 1538684212 | Eagle Acquisition Vi LLC | Skilled Nursing Facility | 901 S Halstead Blvd., Elizabeth City, NC 27909-6920 | 2017-08-03 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.