GLENCARE OF BLADENBORO (NPI# 1366624371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366624371 |
| Entity Type | Organization |
| Organization Name | GLENCARE OF BLADENBORO |
| Practice Address |
714 East Bladen Street Bladenboro NC 28320 |
| Mailing Address |
Po Box 339 Kenansville NC 28349-0339 |
| Practice Telephone | 9108634500 |
| Practice Fax Number | 9108633142 |
| Mailing Telephone | 9102750058 |
| Mailing Fax Number | 9102750093 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. MARIAN ANNE KORNEGAY (VICE PRESIDENT) |
| Authorized Official Telephone | 9102750058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
714 EAST BLADEN STREET |
| City | BLADENBORO |
| State | NC |
| Zip Code | 28320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295399343 | Total Renal Care of North Carolina, LLC | Clinic/Center | 219 Martin Luther King Jr Dr, Bladenboro, NC 28320 | 2019-04-24 |
| 1558721217 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 106 4th St, Bladenboro, NC 28320 | 2016-02-24 |
| 1174877153 | Iesha Shonta Bell | Social Worker | 803 South Main Street, Bladenboro, NC 28320 | 2012-10-30 |
| 1609149053 | Turner's Family Care Home | Assisted Living Facility | 208 Whiteville Road, Bladenboro, NC 28320 | 2012-02-15 |
| 1265738157 | West Bladen Assisted Living, LLC | Custodial Care Facility | 714 Bladen Street, Bladenboro, NC 28320 | 2011-02-10 |
| 1316105042 | Gate Way Health Care Associates LLC | Case Management | 201 Martin Luther King Dr, Bladenboro, NC 28320 | 2008-05-29 |
| 1255506861 | Christopher Clark Dds Pa | Dentist | 104 Fourth St, Bladenboro, NC 28320 | 2008-04-24 |
| 1164609756 | Donald Benton Helms | Eyewear Supplier (Equipment, not the service) | 102 Fourth Street, Bladenboro, NC 28320 | 2008-01-25 |
| 1801005467 | Xuan Kim Tran | Dentist | 104 4th Street, Bladenboro, NC 28320 | 2007-05-21 |
| 1316068307 | Bladen Medical Associates | Nurse Practitioner | 106th 4th Street, Bladenboro, NC 28320 | 2007-04-03 |
| Find all providers in zip 28320 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376089714 | Kelly Turner | Assisted Living Facility | 2105 Nc 410 Hwy, Bladenboro, NC 28320-8053 | 2017-01-09 |
| 1609149053 | Turner's Family Care Home | Assisted Living Facility | 208 Whiteville Road, Bladenboro, NC 28320 | 2012-02-15 |
| 1073796264 | Leslie Evelyn Todd Oak Grove Family Care | Assisted Living Facility | 583 Sassafras Rd, Route 4 Box 271, Bladenboro, NC 28320-5925 | 2007-12-11 |
| 1215091780 | The Meadows of Hermitage Inc | Assisted Living Facility | 714 E Bladen St, Bladenboro, NC 28320-0669 | 2006-12-20 |
| 1821534074 | Turner's Family Care Home, LLC | Assisted Living Facility | 2105 Nc 410 Hwy, Bladenboro, NC 28320-8053 | 2017-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689104 | B&b Assisted Living Care LLC | Assisted Living Facility | 9461 Us Hwy 710s, Rowland, NC 28383 | 2020-08-10 |
| 1306465745 | Cedar Senior Living, LLC. | Assisted Living Facility | 670 Cedar Lake Ln, Clinton, NC 28328-8986 | 2020-04-15 |
| 1003444258 | Trinity Developmental Center, LLC | Assisted Living Facility | 4027 Franklin Meadows Dr, Matthews, NC 28105-6935 | 2020-03-31 |
| 1114562147 | Taylor Care Group, LLC | Assisted Living Facility | 1188 Bertha Wilson Rd, Blanch, NC 27212-9795 | 2019-11-13 |
| 1710528377 | Grace Village Inc | Assisted Living Facility | 501 River Bend Dr., Granite Falls, NC 28630 | 2019-10-04 |
| 1336799246 | Tieshquanna Ciare Richardson | Assisted Living Facility | 312 Kilgo St, Clayton, NC 27520-1651 | 2019-09-13 |
| 1326695404 | Snh Nc Tenant LLC | Assisted Living Facility | 5920 Mcchesney Dr, Charlotte, NC 28269-6238 | 2019-08-22 |
| 1659928174 | Coastal Pointe Senior Living LLC | Assisted Living Facility | 5220 Ocean Hwy W, Shallotte, NC 28470-4006 | 2019-08-20 |
| 1861046674 | A1a-arc of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd, Dunn, NC 28334-6240 | 2019-07-30 |
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
| City | BLADENBORO |
| Zip Code | 28320 |
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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.