MATRONE PRIMARY CARE (NPI# 1437501863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437501863 |
| Entity Type | Organization |
| Organization Name | MATRONE PRIMARY CARE |
| Practice Address |
2412 Windsor Trl Raleigh NC 27615-1200 |
| Practice Telephone | 9194103734 |
| Practice Fax Number | 9842424502 |
| Mailing Telephone | 9194103734 |
| Mailing Fax Number | 9842424502 |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2016-09-20 |
| Authorized Official Name | MR. ANDREW K MATRONE (CEO) |
| Authorized Official Telephone | 9194103734 |
| Authorized Official Credential | ANP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
500048 | NC | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | 5006048 | NC | Nursing & Custodial Care Facilities |
| Street Address |
2412 WINDSOR TRL |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679020473 | Matrone Primary Care LLC | Clinic/Center | 2412 Windsor Trl, Raleigh, NC 27615-1200 | 2016-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| 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 |
|---|---|---|---|---|
| 1871064832 | Rosie's Care Home Inc | Assisted Living Facility | 3604 Neuse Estates Dr, Raleigh, NC 27604-6071 | 2018-12-16 |
| 1831668482 | Hcp Raleigh Nc Opco, LLC | Assisted Living Facility | 4801 Edward Mills Rd., Raleigh, NC 27612-4417 | 2018-11-13 |
| 1235373606 | Dana Jackson Barnes | Assisted Living Facility | 1616 Riverknoll Dr, Raleigh, NC 27610-4580 | 2009-04-28 |
| 1124262050 | A Good Life Family Care Home | Assisted Living Facility | 4013 Tryon Rd, Raleigh, NC 27606-4209 | 2009-04-22 |
| 1801065602 | Twenty Pack Management Corp. | Assisted Living Facility | 4801 Edwards Mill Rd, Raleigh, NC 27612-4417 | 2008-02-26 |
| 1306041165 | Swift Creek Residential Care | Assisted Living Facility | 5003 Yates Mill Pond Rd, Raleigh, NC 27606-8905 | 2007-06-20 |
| 1841412988 | Falls River Court Memory Care, LLC | Assisted Living Facility | 1130 Alls River Avenue, Raleigh, NC 27614 | 2007-05-02 |
| 1669694709 | Falls River Village Assisted Living, LLC | Assisted Living Facility | 1110 Falls River Avenue, Raleigh, NC 27614 | 2007-05-02 |
| 1124245345 | Helms Cottage # 1 | Assisted Living Facility | 1313 Athens Dr, Raleigh, NC 27606-2424 | 2007-04-19 |
| 1336270958 | Lees Long Term Care Facility Inc. | Assisted Living Facility | 7133 Rock Service Station Rd, Raleigh, NC 27603-8307 | 2007-03-07 |
| Find all providers in RALEIGH | ||||
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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.