BRYSON CITY LIVING CENTER, LLC (NPI# 1366624504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366624504 |
| Entity Type | Organization |
| Organization Name | BRYSON CITY LIVING CENTER, LLC |
| Practice Address |
314 Hughes Branch Road Bryson City NC 28713 |
| Practice Telephone | 8284882780 |
| Practice Fax Number | 8284885961 |
| Mailing Telephone | 8284882780 |
| Mailing Fax Number | 8284885961 |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |
| Authorized Official Name | KENNETH R HODGES (ADMINISTRATOR) |
| Authorized Official Telephone | 8287383046 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
HAL 087 003 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LICENSE | HAL 087 003 | 01 |
| Street Address |
314 HUGHES BRANCH ROAD |
| City | BRYSON CITY |
| State | NC |
| Zip Code | 28713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487104048 | Healthstat Onsite Clinic Consolidated Metco Bryson City | Preventive Medicine | 1821 Us-19, Bryson City, NC 28713 | 2016-10-07 |
| 1437517331 | Matthew Aycock | Pharmacist | Highway 19 & Slope St, Bryson City, NC 28713 | 2016-02-05 |
| 1982089553 | Liberty Corner Enterprises, Inc. | Case Management | 30 Arlington Extension, Bryson City, NC 28713 | 2015-07-24 |
| 1316374861 | Katherine Kreps | Pharmacist | 50 Hwy 19 & Slope St, Bryson City, NC 28713 | 2013-09-30 |
| 1346682721 | Mcclendon Funderburk Home Health Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5218 Springdale Drive, Waxhaw, NC 28713 | 2013-07-25 |
| 1285974667 | James Weaver Kirkpatrick Jr. | Pharmacist | 200 Valley Village Shopping Center Highway 19 S, Bryson City, NC 28713 | 2013-02-22 |
| 1154671188 | Pamela B Winchester | Pharmacist | Hwy 19 and Slope St., Bryson City, NC 28713 | 2012-09-18 |
| 1760761456 | Dennis M Harrison | Acupuncturist | 641 Wesser Creek Rd., Bryson City, NC 28713 | 2011-08-11 |
| 1730499674 | Mountain Discovery Charter School | Physical Therapist | 890 Jenkins Branch Rd, Bryson City, NC 28713 | 2010-10-13 |
| 1184931701 | Bryson City Health Holdings, LLC | Assisted Living Facility | 314 Hughes Branch Rd, Bryson City, NC 28713 | 2010-09-02 |
| Find all providers in zip 28713 | ||||
| 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 |
|---|---|---|---|---|
| 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 | BRYSON CITY |
| Zip Code | 28713 |
Please comment or provide details below to improve the information on BRYSON CITY LIVING CENTER, LLC.
| 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.