CRANBERRY HOUSE, LLC (NPI# 1417157975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417157975 |
| Entity Type | Organization |
| Organization Name | CRANBERRY HOUSE, LLC |
| Other Organization Name | CRANBERRY HOUSE |
| Practice Address |
6215 Us 19e Elk Park NC 28622 |
| Mailing Address |
1978 8th Ave Nw Hickory NC 28601-3312 |
| Practice Telephone | 8287335558 |
| Mailing Telephone | 8283225535 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-10-15 |
| Authorized Official Name | MR. CHARLES E TREFZGER JR. (MANANGER) |
| Authorized Official Telephone | 8283225535 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | HAL-006-004 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7805864 | 05 |
| Other Name | Type Code |
|---|---|
| Cranberry House | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | CRANBERRY HOUSE, LLC | 264 John Parker Road, East Falmouth, MA 02536 |
| Street Address |
6215 US 19E |
| City | ELK PARK |
| State | NC |
| Zip Code | 28622 |
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407227382 | The Cardinal At North Hills Healthcare, LLC | Alzheimer Center (Dementia Center) | 311 Garden At North Hills, Raleigh, NC 27609 | 2015-10-16 |
| 1366677429 | J & S Care Inc. | Alzheimer Center (Dementia Center) | 943 Goins Road, Pembroke, NC 28372-8362 | 2009-05-19 |
| 1669607727 | Senior Memory Care LLC | Alzheimer Center (Dementia Center) | 4920 Harris Woods Blvd, Charlotte, NC 28269-0486 | 2009-05-19 |
| 1689827487 | Five Star Quality Care- North Carolina, LLC | Alzheimer Center (Dementia Center) | 13180 Dorman Road, Pineville, NC 28134 | 2008-10-24 |
| 1326291121 | Five Star Quality Care- North Carolina, LLC | Alzheimer Center (Dementia Center) | 6101 Clarke Creek Parkway, Charlotte, NC 28269-6238 | 2008-10-24 |
| 1932368586 | Lutheran Retirement Ministries of Alamance County, North Carolina | Alzheimer Center (Dementia Center) | 3810 Heritage Dr, Burlington, NC 27215-9730 | 2008-06-07 |
| 1699932376 | Royal Laine Healthcare, LLC | Alzheimer Center (Dementia Center) | 3017 Dunn Rd, Fayetteville, NC 28312-8885 | 2008-05-20 |
| 1629268511 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 2500 Heritage Circle, Hendersonville, NC 28791 | 2007-07-27 |
| 1629278437 | Yancey House, LLC | Alzheimer Center (Dementia Center) | 6 Cooper Lane, Burnsville, NC 28714 | 2007-07-19 |
| 1841490653 | Windsor House One, LLC | Alzheimer Center (Dementia Center) | 336 Rhodes Ave, Windsor, NC 27983-9611 | 2007-07-19 |
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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.