SNOWSHOE LTC GROUP, LLC (NPI# 1619908977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619908977 |
| Entity Type | Organization |
| Organization Name | SNOWSHOE LTC GROUP, LLC |
| Other Organization Name | GREENHAVEN HEALTH AND REHABILITATION CENTER |
| Practice Address |
801 Greenhaven Dr Greensboro NC 27406-7103 |
| Practice Telephone | 3362928371 |
| Practice Fax Number | 3362998414 |
| Mailing Telephone | 3362928371 |
| Mailing Fax Number | 3362998414 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2017-04-07 |
| Authorized Official Name | MS. KAREN G MCDANIEL (PRESIDENT) |
| Authorized Official Telephone | 2525239094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0368 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | UNITED HEALTHCARE | 7108249 | 01 |
| NC | PARTNERS INSURANCE | 26711 | 01 |
| NC | 3416303 | 05 | |
| NC | BC/BS OF NC | 00870 | 01 |
| NC | 3425132 | 05 | |
| NC | 3435132 | 05 |
| Other Name | Type Code |
|---|---|
| Greenhaven Health and Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861504946 | Snowshoe Ltc Group, LLC | Skilled Nursing Facility | 1349 Crabtree Rd, Waynesville, NC 28785-7315 | 2006-08-31 |
| 1265463566 | Snowshoe Ltc Group, LLC | Clinic/Center | 730 Lunenburg Highway, Keysville, VA 23947 | 2006-07-05 |
| 1326074048 | Snowshoe Ltc Group, LLC | Skilled Nursing Facility | 308 W Meadowview Rd, Greensboro, NC 27406-3610 | 2006-06-24 |
| 1811923931 | Snowshoe Ltc Group, LLC | Skilled Nursing Facility | 728 Piney Grove Rd, Kernersville, NC 27284-2335 | 2006-06-23 |
| 1144405804 | Snowshoe Ltc Group, LLC | Nursing Facility/Intermediate Care Facility | 308 W Meadowview Rd, Greensboro, NC 27406-3610 | 2007-12-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Snowshoe LTC Group, LLC | 1435 Hwy 258 N , Kinston, NC 28504-7208 |
| Virginia Business Entity | Snowshoe LTC Group, LLC | 1435 HWY 258 N PO BOX 6159, KINSTON, NC 28501 |
| Street Address |
801 GREENHAVEN DR |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27406-7103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366775785 | Christopher Kelly Brown | Occupational Therapist | 801 Greenhaven Dr, Greensboro, NC 27406-7103 | 2009-09-16 |
| 1265691513 | Jessica N Davis | Speech-Language Pathologist | 801 Greenhaven Dr, Greensboro, NC 27406-7103 | 2008-06-03 |
| 1205093218 | Tracey Harris | Physical Therapy Assistant | 801 Greenhaven Dr, Greensboro, NC 27406-7103 | 2008-05-19 |
| 1568638922 | Allison Horton Ford | Physical Therapist | 801 Greenhaven Dr, Greensboro, NC 27406-7103 | 2008-05-06 |
| 1598952921 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 801 Greenhaven Dr, Greensboro, NC 27406-7103 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548750201 | Lesia Ann Lancaster | Counselor | 1451 South Elm-eugene Street, Suite 3109, Greensboro, NC 27406 | 2018-05-17 |
| 1538667092 | Brittany T. Price | Specialist/Technologist | 5806 Davis Mill Rd., Greensboro, NC 27406 | 2018-01-30 |
| 1457868168 | Therapyworks Counseling, Pllc | Clinic/Center | 1451 S Elm Eugene St Unit 54, Greensboro, NC 27406 | 2018-01-03 |
| 1548776644 | Brent Douglas Sprinkle | Counselor | 1451 S Elm Eugene St # 3107, Greensboro, NC 27406 | 2017-12-27 |
| 1922537216 | Liam Buckley | Specialist/Technologist | 201 Mcadoo Avenue, Apt 3f, Greensboro, NC 27406 | 2017-06-08 |
| 1669903589 | Reba Siler Kennedy | Specialist | 1325 South Eugene Street, Suite 102, Greensboro, NC 27406 | 2017-03-22 |
| 1811433089 | Lee Street Services LLC | Community/Behavioral Health | 1202 East Mountain St, Unit C, Kernersville, NC 27406 | 2017-01-12 |
| 1811430184 | A & A Health Care Agency, Inc. | Custodial Care Facility | 2600 Kilpatrick-white Rd, Greensboro, NC 27406 | 2016-11-18 |
| 1063877900 | Yolanda Deonne Ector | Rehabilitation Practitioner | 5605 Country Club Rd, Greensboro, NC 27406 | 2015-12-18 |
| 1053785121 | Mamie Turner | Behavioral Analyst | 5202 Olde Forest Dr, Greensboro, NC 27406 | 2015-11-30 |
| Find all providers in zip 27406 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093126633 | United Healthcare | Skilled Nursing Facility | 211 W Greenway Dr N, Greensboro, NC 27403-1540 | 2014-05-16 |
| 1366709065 | Therapy Services, LLC | Skilled Nursing Facility | 1 Marithe Ct, Greensboro, NC 27407-2702 | 2012-04-19 |
| 1215177035 | Ashton Place Health and Rehab, LLC | Skilled Nursing Facility | 5533 Burlington Road, Greensboro, NC 27301-9622 | 2009-03-06 |
| 1083854913 | Camden Place Health and Rehab, LLC. | Skilled Nursing Facility | 1 Marithe Court, Greensboro, NC 27407-2702 | 2009-03-05 |
| 1992924831 | Well Spring Retirement Community Inc. | Skilled Nursing Facility | 4100 Well Spring Dr, Greensboro, NC 27410-8857 | 2007-04-25 |
| 1649320490 | Greene County Nursing Center LLC | Skilled Nursing Facility | 1211 Siloam Road, Greensboro, GA 30642 | 2007-01-12 |
| 1326143504 | Heartland of Greensboro, Inc | Skilled Nursing Facility | 1131 N Church St, Greensboro, NC 27401-1007 | 2006-09-13 |
| 1245343722 | American Health Corporation and Subsidiaries | Skilled Nursing Facility | 616 Armory St, Greensboro, AL 36744-2110 | 2006-08-17 |
| 1326074048 | Snowshoe Ltc Group, LLC | Skilled Nursing Facility | 308 W Meadowview Rd, Greensboro, NC 27406-3610 | 2006-06-24 |
| 1477504702 | Ggnsc Greensboro II LLC | Skilled Nursing Facility | 1201 Carolina St, Greensboro, NC 27401-1303 | 2006-05-12 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27406 |
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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.