FIVE STAR QUALITY CARE- NORTH CAROLINA, LLC (NPI# 1689827487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689827487 |
| Entity Type | Organization |
| Organization Name | FIVE STAR QUALITY CARE- NORTH CAROLINA, LLC |
| Other Organization Name | THE HAVENS IN THE VILLAGE AT CAROLINA PLACE |
| Practice Address |
13180 Dorman Road Pineville NC 28134 |
| Mailing Address |
400 Centre Street Newton MA 02458 |
| Practice Telephone | 7045400155 |
| Practice Fax Number | 7045408007 |
| Mailing Telephone | 6177968160 |
| Mailing Fax Number | 6177968375 |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2016-06-27 |
| Authorized Official Name | BRUCE J MACKEY JR. (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6177968214 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIVE STAR QUALITY CARE- NORTH CAROLINA,LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | HAL-060-107 | NC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Havens in the Village at Carolina Place | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326291121 | Five Star Quality Care- North Carolina, LLC | Alzheimer Center (Dementia Center) | 6101 Clarke Creek Parkway, Charlotte, NC 28269-6238 | 2008-10-24 |
| Street Address |
13180 DORMAN ROAD |
| City | PINEVILLE |
| State | NC |
| Zip Code | 28134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144682873 | Mosaic Group, LLC | Community/Behavioral Health | 600 Towne Centre Blvd, Suite 403, Pineville, NC 28134 | 2016-03-22 |
| 1447545298 | Sunanda H Lachake | Pharmacist | 9101 Matthews-pineville Rd, Pineville, NC 28134 | 2011-06-09 |
| 1659663029 | Focal Point Chiropractic Health Center Pllc | Chiropractor | 103 Dover St., Pineville, NC 28134 | 2011-05-04 |
| 1649403577 | Chinyere Genevive Okam | Pharmacist | 11805 Southcrest Lane, Pineville, NC 28134 | 2009-08-26 |
| 1063649010 | Irene N/a D'alessandris | Community Health Worker | 1010 Lake View Dr., Pineville Rehab, Pineville, NC 28134 | 2009-06-17 |
| 1598940637 | Janice S Blocker | Physical Therapy Assistant | 1010 Lakeview Drive, Pineville, NC 28134 | 2008-01-08 |
| 1760603195 | Alisha S Richmond | Speech-Language Pathologist | 10624 Lighthouse Lane, Pineville, NC 28134 | 2007-05-02 |
| 1043374655 | Tiffany Howard | Counselor | 12438 Woodside Falls Road, Pineville, NC 28134 | 2006-12-20 |
| 1003919192 | Joey Scott Hartsell | Chiropractor | 216 Main St., Pineville, NC 28134 | 2006-09-06 |
| 1356858021 | Elliott Matthew Tolley | Physical Therapist | 13333 Dorman Rd, Pineville, NC 28134 | 2018-01-03 |
| Find all providers in zip 28134 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851689020 | Five Star Quality Care-north Carolina, LLC | Alzheimer Center (Dementia Center) | 13180 Dorman Rd, Pineville, NC 28134-9016 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407227382 | The Cardinal At North Hills Healthcare, LLC | Alzheimer Center (Dementia Center) | 311 Garden At North Hills, Raleigh, NC 27609 | 2015-10-16 |
| 1366677429 | J & S Care Inc. | Alzheimer Center (Dementia Center) | 943 Goins Road, Pembroke, NC 28372-8362 | 2009-05-19 |
| 1669607727 | Senior Memory Care LLC | Alzheimer Center (Dementia Center) | 4920 Harris Woods Blvd, Charlotte, NC 28269-0486 | 2009-05-19 |
| 1326291121 | Five Star Quality Care- North Carolina, LLC | Alzheimer Center (Dementia Center) | 6101 Clarke Creek Parkway, Charlotte, NC 28269-6238 | 2008-10-24 |
| 1932368586 | Lutheran Retirement Ministries of Alamance County, North Carolina | Alzheimer Center (Dementia Center) | 3810 Heritage Dr, Burlington, NC 27215-9730 | 2008-06-07 |
| 1699932376 | Royal Laine Healthcare, LLC | Alzheimer Center (Dementia Center) | 3017 Dunn Rd, Fayetteville, NC 28312-8885 | 2008-05-20 |
| 1629268511 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 2500 Heritage Circle, Hendersonville, NC 28791 | 2007-07-27 |
| 1417157975 | Cranberry House, LLC | Alzheimer Center (Dementia Center) | 6215 Us 19e, Elk Park, NC 28622 | 2007-07-23 |
| 1629278437 | Yancey House, LLC | Alzheimer Center (Dementia Center) | 6 Cooper Lane, Burnsville, NC 28714 | 2007-07-19 |
| 1841490653 | Windsor House One, LLC | Alzheimer Center (Dementia Center) | 336 Rhodes Ave, Windsor, NC 27983-9611 | 2007-07-19 |
| 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.