HOLLY SPRINGS SENIOR CITIZENS HOME (NPI# 1588799597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588799597 |
| Entity Type | Organization |
| Organization Name | HOLLY SPRINGS SENIOR CITIZENS HOME |
| Practice Address |
1881 Big Island Rd Rutherfordton NC 28139-8779 |
| Practice Telephone | 8282457781 |
| Practice Fax Number | 8282470107 |
| Mailing Telephone | 8282457781 |
| Mailing Fax Number | 8282470107 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRENT W. ALLEN (ADMINISTRATOR) |
| Authorized Official Telephone | 8282457781 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL-081-005 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | STATE LICENSE NUMBER | HAL-081-005 | 01 |
| NC | 7801905 | 05 |
| Street Address |
1881 BIG ISLAND RD |
| City | RUTHERFORDTON |
| State | NC |
| Zip Code | 28139-8779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821428269 | Onas Place 1 | Day Training, Developmentally Disabled Services | 127 Gabriel Street, Rutherfordton, NC 28139 | 2013-11-21 |
| 1821297821 | H. Vanderwal Inc. | Assisted Living Facility | 401 Us 221 S Hwy, Rutherfordton, NC 28139 | 2007-07-11 |
| 1013034974 | Jay R Mee | Massage Therapist | 244 Charlotte Road, Rutherfordton, NC 28139 | 2007-03-24 |
| 1386752509 | William Scott Jordan | Dentist | 334 N Main Street, Rutherfordton, NC 28139 | 2006-08-28 |
| 1194833855 | Rutherford Anesthesiology Associates, LLP | Anesthesiology | 288 S. Ridgecrest Avenue, Rutherfordton, NC 28139 | 2006-08-25 |
| 1316983745 | Thomas Vance Bolling | Surgery | 330 Nc Highway 108, Rutherfordton, NC 28139 | 2006-06-22 |
| 1265481865 | Kenneth Glen Miller-kallenbach | Psychiatry & Neurology | 182 West Court St, Rutherfordton, NC 28139 | 2006-05-09 |
| 1982674966 | Franklin James Mooring | Radiology | 288 South Ridgecrest, Rutherfordton, NC 28139 | 2006-01-24 |
| 1346578580 | Mission Medical Associates Inc | Internal Medicine | 128 Dr Henry Norris Dr, Rutherfordton, NC 28139 | 2009-11-30 |
| 1497907497 | Sydna Elizabeth Bougere | Counselor | 356 Charlotte Rd, Rutherfordton, NC 28139 | 2008-10-21 |
| Find all providers in zip 28139 | ||||
| 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 |
|---|---|---|---|---|
| 1255779500 | Monarch | Assisted Living Facility | 146 N Hillside St, Rutherfordton, NC 28139-2356 | 2013-06-10 |
| 1821297821 | H. Vanderwal Inc. | Assisted Living Facility | 401 Us 221 S Hwy, Rutherfordton, NC 28139 | 2007-07-11 |
| 1790810638 | Oakland Living Center, Inc. | Assisted Living Facility | 704 Poors Ford Rd, Rutherfordton, NC 28139-9215 | 2007-02-22 |
| 1003949223 | Yelton & Associates | Assisted Living Facility | 160 Health Care Dr, Rutherfordton, NC 28139-8058 | 2007-03-14 |
| 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 | ||||
| City | RUTHERFORDTON |
| Zip Code | 28139 |
Please comment or provide details below to improve the information on HOLLY SPRINGS SENIOR CITIZENS HOME.
| 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.