BECKYS REST HOME 11 (NPI# 1376669101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376669101 |
| Entity Type | Organization |
| Organization Name | BECKYS REST HOME 11 |
| Practice Address |
316 Lower Brush Creek Road Fairview NC 28730-0316 |
| Practice Telephone | 8286283395 |
| Practice Fax Number | 8286289931 |
| Mailing Telephone | 8286283395 |
| Mailing Fax Number | 8286289931 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BECKY MCINTOSH (ADMINISTRATOR) |
| Authorized Official Telephone | 8286283395 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL011003 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7801824 | 05 |
| Street Address |
316 LOWER BRUSH CREEK ROAD |
| City | FAIRVIEW |
| State | NC |
| Zip Code | 28730-0316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619431723 | L & J Boyd Enterprises, LLC | Technician/Technologist | 390 Number Nine Road, Fairview, NC 28730 | 2019-01-23 |
| 1558383026 | Lea Almond Tate | Counselor | 136 Laurel Haven Road, Fairview, NC 28730 | 2006-07-24 |
| 1730394230 | Robert T Busey, D.d.s. | Dentist | 12 Old Fort Rd, Fairview, NC 28730 | 2007-05-10 |
| 1194141325 | Fairview Volunteer Fire Department Inc | Ambulance | 1586 Charlotte Hwy, Fairview, NC 28730-0000 | 2014-03-12 |
| 1508022724 | James Wesley Turpin | General Practice | 79 Camby Dr, Fairview, NC 28730-1335 | 2008-08-07 |
| 1891990800 | Sonita Chevette Gibbs | Counselor | 83 Blue Ridge Development Road, Fairview, NC 28730-1735 | 2007-06-19 |
| 1508101908 | Lorie Saltzman | Contractor | 39 Sovereign Ln, Fairview, NC 28730-6200 | 2012-12-11 |
| 1184282493 | Frederick Shaun Hassler | Counselor | 275 Garren Creek Rd, Fairview, NC 28730-7605 | 2019-06-01 |
| 1679024822 | Austin Avrett | Pharmacist | 1185 Charlotte Hwy, Suite L, Fairview, NC 28730-7782 | 2016-10-21 |
| 1245744523 | Sviatlana M Drevila | Pharmacist | 1185 Charlotte Hwy, Fairview, NC 28730-7782 | 2017-11-26 |
| Find all providers in zip 28730 | ||||
| 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 |
|---|---|---|---|---|
| 1356438352 | Anchor Inne, Inc. | Assisted Living Facility | 6816 W Lake Rd, Fairview, PA 16415-1645 | 2006-10-10 |
| 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 | ||||
Please comment or provide details below to improve the information on BECKYS REST HOME 11.
| 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.