SSC KENANSVILLE OPERATING COMPANY LLC (NPI# 1689777971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689777971 |
| Entity Type | Organization |
| Organization Name | SSC KENANSVILLE OPERATING COMPANY LLC |
| Other Organization Name | KENANSVILLE HEALTH AND REHABILITATION CENTER |
| Practice Address |
209 Beasley Street Kenansville NC 28349 |
| Mailing Address |
5300 W Sam Houston Pkwy N Suite 100 Houston TX 77041-5161 |
| Practice Telephone | 9102961561 |
| Practice Fax Number | 9102961016 |
| Mailing Telephone | 8324676000 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2013-08-01 |
| Authorized Official Name | THOMAS SIMONS (SVP OPERATIONS FINANCE) |
| Authorized Official Telephone | 6784437000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0308 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3445150 | 05 |
| Other Name | Type Code |
|---|---|
| Kenansville Health and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
209 BEASLEY STREET |
| City | KENANSVILLE |
| State | NC |
| Zip Code | 28349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861040792 | Amber Davis Quinn | Occupational Therapy Assistant | 209 Beasley Street, Kenansville, NC 28349-8727 | 2019-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255820494 | Ashley Thigpen Kennedy | Occupational Therapist | 514 South Main Street, Kenansville, NC 28349 | 2018-05-03 |
| 1508387531 | Jeffery None Lowery | Speech-Language Pathologist | Vidant Duplin Rehabillitation, 514 S. Main Street, Kenansville, NC 28349 | 2017-06-29 |
| 1013269786 | Primary Health Choice, Inc. | Counselor | 302 North Main Street. Suite 2, Kenansville, NC 28349 | 2012-10-05 |
| 1104191907 | Duplin County Schools | Local Education Agency (LEA) | 315 N. Main St., Kenansville, NC 28349 | 2012-03-13 |
| 1841579844 | Ashley Barnes Ezzell | Pharmacist | 134 Liberty Square, Suite B, Kenansville, NC 28349 | 2011-08-08 |
| 1265767172 | Goshen Medical Center, Inc. | Clinic/Center | 212 Duplin St, Kenansville, NC 28349 | 2009-10-09 |
| 1497986509 | Duplin General Hospital, Incorporated | Licensed Practical Nurse | 401 North Main, Kenansville, NC 28349 | 2009-08-06 |
| 1679762066 | Mid-state Health Systems, Inc | Community/Behavioral Health | 117 Beasley St, 2nd Floor, Kenansville, NC 28349 | 2007-10-22 |
| 1861697310 | Teresa Ann Holland | Nurse Practitioner | 140 Limestone Rd, Kenansville, NC 28349 | 2007-06-15 |
| 1760521470 | Alpha Omega Health | Case Management | 103 East Hill Street, Suite 3, Kenansville, NC 28349 | 2007-02-06 |
| Find all providers in zip 28349 | ||||
| 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 |
|---|---|---|---|---|
| 1538135876 | Duplin General Hospital | Skilled Nursing Facility | 401 North Main Street, Kenansville, NC 28349 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063756 | Cary Senior Housing I Opco, LLC | Skilled Nursing Facility | 221 Brightmore Dr, Cary, NC 27518-8145 | 2019-10-04 |
| 1629535455 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 621 Chestnut Ridge Pkwy, Blowing Rock, NC 28605-8962 | 2019-02-28 |
| 1871063214 | Vero Health X, LLC | Skilled Nursing Facility | 417 Cloverdale Rd, Sylva, NC 28779-0679 | 2018-11-28 |
| 1821573809 | Carolina Bay Healthcare Center of Wilmington, LLC | Skilled Nursing Facility | 740 Diamond Shoals Rd, Wilmington, NC 28403-4388 | 2018-09-26 |
| 1093228397 | Bellarose Nursing and Rehab Center, Inc. | Skilled Nursing Facility | 200 Bellarose Lake Way, Garner, NC 27529-7049 | 2017-11-08 |
| 1558872333 | Brunswick Health & Rehab Center, LLC | Skilled Nursing Facility | 9600 No 5 School Rd Nw, Ash, NC 28420-2122 | 2017-10-19 |
| 1538684212 | Eagle Acquisition Vi LLC | Skilled Nursing Facility | 901 S Halstead Blvd., Elizabeth City, NC 27909-6920 | 2017-08-03 |
| 1982130811 | Ashton Health and Rehabilitation, LLC | Skilled Nursing Facility | 5533 Burlington Rd, Mc Leansville, NC 27301-9622 | 2017-05-11 |
| 1831625037 | Supplemental Healthcare | Skilled Nursing Facility | 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 | 2017-05-08 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| Find all providers with the same taxonomy | ||||
| City | KENANSVILLE |
| Zip Code | 28349 |
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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.