BROOKSTONE HAVEN OF STAR ASSISTED LIVING, LLC (NPI# 1497999031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497999031 |
| Entity Type | Organization |
| Organization Name | BROOKSTONE HAVEN OF STAR ASSISTED LIVING, LLC |
| Other Organization Name | BROOKSTONE HAVEN OF STAR |
| Practice Address |
327 Freeman St Star NC 27356-7623 |
| Mailing Address |
Po Box 814 Randleman NC 27317-0814 |
| Practice Telephone | 9104282101 |
| Mailing Telephone | 3364952700 |
| Mailing Fax Number | 3364955552 |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2013-06-13 |
| Authorized Official Name | DAVID DEAN WILSON (MANAGING MEMBER) |
| Authorized Official Telephone | 3364952700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
HAL-06-2014 | NC | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7806556 | 05 |
| Other Name | Type Code |
|---|---|
| Brookstone Haven of Star | Other Name - Individual/Organization |
| Street Address |
327 FREEMAN ST |
| City | STAR |
| State | NC |
| Zip Code | 27356-7623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629334016 | Robeson Health Care Corporation | Clinic/Center | 103 Cotton Creek Rd, Star, NC 27356 | 2012-04-10 |
| 1689799223 | Starmont Assisted Living | Assisted Living Facility | 327 Freeman Street, Star, NC 27356-0157 | 2007-03-20 |
| 1104156371 | Therapeutic Alternatives Incorporated | Community/Behavioral Health | 327 Freeman Street, Star, NC 27356-0157 | 2010-01-11 |
| 1407038391 | Therapeutic Alternatives, Inc. | Custodial Care Facility | 327 Freeman Street, Star, NC 27356-0157 | 2007-12-03 |
| 1235243353 | Montgomery Drug Inc | Pharmacy | 339 S Main St, Star, NC 27356-0279 | 2006-08-18 |
| 1114046778 | Crowder Family Care | Assisted Living Facility | 444 Craven St, Star, NC 27356-0602 | 2007-03-28 |
| 1326166455 | Wilson Family Care | Assisted Living Facility | 221 Center St, 221 Center St, Star, NC 27356-0602 | 2007-03-27 |
| 1952305401 | Cnc Family Medicine, Pllc | Clinic/Center | 128 Okeewemee Star Rd, Star, NC 27356-7343 | 2005-06-10 |
| 1578580221 | Helping Hands Home Care Agency | Home Health | 115 New Hope Church Rd, Star, NC 27356-7539 | 2006-07-17 |
| 1023487881 | Larry Kennedy | Pharmacist | 339 S Main St, Star, NC 27356-7765 | 2015-09-22 |
| Find all providers in zip 27356 | ||||
| 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 |
|---|---|---|---|---|
| 1114046778 | Crowder Family Care | Assisted Living Facility | 444 Craven St, Star, NC 27356-0602 | 2007-03-28 |
| 1326166455 | Wilson Family Care | Assisted Living Facility | 221 Center St, 221 Center St, Star, NC 27356-0602 | 2007-03-27 |
| 1689799223 | Starmont Assisted Living | Assisted Living Facility | 327 Freeman Street, Star, NC 27356-0157 | 2007-03-20 |
| 1295931939 | Cagle Rest Home | Assisted Living Facility | 601 Dover Rd, Star, NC 27356-7772 | 2007-06-21 |
| 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 | ||||
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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.