DBG III LLC (NPI# 1447398029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447398029 |
| Entity Type | Organization |
| Organization Name | DBG III LLC |
| Other Organization Name | FAIR BLUFF ASSISTED LIVING #1 |
| Practice Address |
225 Minton St Fair Bluff NC 28439-9590 |
| Mailing Address |
Po Box 1559 Shallotte NC 28459-1559 |
| Practice Telephone | 9107546621 |
| Mailing Telephone | 9107546621 |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID B GOLDSTON III (MANAGER) |
| Authorized Official Telephone | 9107546621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FCL-024-005 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7805470 | 05 |
| Other Name | Type Code |
|---|---|
| Fair Bluff Assisted Living #1 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437298924 | Dbg IIi LLC | Custodial Care Facility | 42 Horne Street, Fair Bluff, NC 28439 | 2007-02-05 |
| Street Address |
225 MINTON ST |
| City | FAIR BLUFF |
| State | NC |
| Zip Code | 28439-9590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992829774 | Fair Bluff Family Practice | Family Medicine | 1112 Main Street, Fair Bluff, NC 28439 | 2007-03-19 |
| 1063556587 | Leonard R Odham Jr Dds Pa | Dentist | 16 Powell St, Fair Bluff, NC 28439 | 2007-02-16 |
| 1437298924 | Dbg IIi LLC | Custodial Care Facility | 42 Horne Street, Fair Bluff, NC 28439 | 2007-02-05 |
| 1710046271 | Palmetto Personal Care Services Inc | Home Health | 684 Main St, Fair Bluff, NC 28439 | 2006-12-08 |
| 1891888020 | Elvington Drug LLC | Pharmacy | 1126 Main Street, Fair Bluff, NC 28439 | 2006-10-02 |
| 1346257318 | James Hubert Meares Jr. | Pharmacist | 1089 Main St, Fair Bluff, NC 28439 | 2006-08-02 |
| 1578618732 | Fair Bluff Discount Drug, Inc | Pharmacy | 1089 Main St, Fair Bluff, NC 28439 | 2007-01-25 |
| 1952662041 | Leonard Russell Odham Jr. | Dentist | 16 Powell St., Fair Bluff, NC 28439-0368 | 2012-06-05 |
| 1780729814 | Anthony Curiale | Physician Assistant | 1112 Main St, Fair Bluff, NC 28439-9518 | 2007-02-20 |
| 1033294376 | Community Innovations Inc. 52 | Intermediate Care Facility, Mentally Retarded | 353 Elm St, Fair Bluff, NC 28439-9594 | 2006-10-26 |
| Find all providers in zip 28439 | ||||
| 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 |
|---|---|---|---|---|
| 1437298924 | Dbg IIi LLC | Custodial Care Facility | 42 Horne Street, Fair Bluff, NC 28439 | 2007-02-05 |
| 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 | FAIR BLUFF |
| Zip Code | 28439 |
Please comment or provide details below to improve the information on DBG III 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.