FALLS RIVER VILLAGE ASSISTED LIVING, LLC (NPI# 1669694709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669694709 |
| Entity Type | Organization |
| Organization Name | FALLS RIVER VILLAGE ASSISTED LIVING, LLC |
| Other Organization Name | FALLS RIVER VILLAGE |
| Practice Address |
1110 Falls River Avenue Raleigh NC 27614 |
| Mailing Address |
3723 Fairview Industrial Dr Se Suite 270 Salem OR 97302 |
| Practice Telephone | 9198449747 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JON HARDER (MANAGER) |
| Authorized Official Telephone | 5034854600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Falls River Village | Doing Business As Name - Organization |
| Street Address |
1110 FALLS RIVER AVENUE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
| Find all providers in zip 27614 | ||||
| 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 |
| 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 |
| 1316091218 | Szr North Hills, LLC | Assisted Living Facility | 615 Spring Forest Rd, Raleigh, NC 27609-9150 | 2007-01-22 |
| 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.