OAK GROVE FAMILY CARE HOME (NPI# 1710161120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710161120 |
| Entity Type | Organization |
| Organization Name | OAK GROVE FAMILY CARE HOME |
| Practice Address |
583 Sassafras Rd Bladenboro NC 28320-5925 |
| Practice Telephone | 9106482176 |
| Mailing Telephone | 9106482176 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |
| Authorized Official Name | EVELYN TODD (OWNER) |
| Authorized Official Telephone | 9106482176 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
FCH009008 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7802347 | 05 |
| Street Address |
583 SASSAFRAS RD |
| City | BLADENBORO |
| State | NC |
| Zip Code | 28320-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073796264 | Leslie Evelyn Todd Oak Grove Family Care | Assisted Living Facility | 583 Sassafras Rd, Route 4 Box 271, Bladenboro, NC 28320-5925 | 2007-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295399343 | Total Renal Care of North Carolina, LLC | Clinic/Center | 219 Martin Luther King Jr Dr, Bladenboro, NC 28320 | 2019-04-24 |
| 1558721217 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 106 4th St, Bladenboro, NC 28320 | 2016-02-24 |
| 1174877153 | Iesha Shonta Bell | Social Worker | 803 South Main Street, Bladenboro, NC 28320 | 2012-10-30 |
| 1609149053 | Turner's Family Care Home | Assisted Living Facility | 208 Whiteville Road, Bladenboro, NC 28320 | 2012-02-15 |
| 1265738157 | West Bladen Assisted Living, LLC | Custodial Care Facility | 714 Bladen Street, Bladenboro, NC 28320 | 2011-02-10 |
| 1316105042 | Gate Way Health Care Associates LLC | Case Management | 201 Martin Luther King Dr, Bladenboro, NC 28320 | 2008-05-29 |
| 1255506861 | Christopher Clark Dds Pa | Dentist | 104 Fourth St, Bladenboro, NC 28320 | 2008-04-24 |
| 1164609756 | Donald Benton Helms | Eyewear Supplier (Equipment, not the service) | 102 Fourth Street, Bladenboro, NC 28320 | 2008-01-25 |
| 1366624371 | Glencare of Bladenboro | Assisted Living Facility | 714 East Bladen Street, Bladenboro, NC 28320 | 2007-11-30 |
| 1801005467 | Xuan Kim Tran | Dentist | 104 4th Street, Bladenboro, NC 28320 | 2007-05-21 |
| Find all providers in zip 28320 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1073156931 | Coastal Carolina Primary Care, Pllc | Clinic/Center | 15441 Us Highway 17 N Ste 501, Hampstead, NC 28443-0016 | 2019-10-23 |
| 1396303178 | Chiroduo | Clinic/Center | 6816 Ray Rd, Raleigh, NC 27613-3237 | 2019-06-05 |
| 1780147108 | Legacy Health Pa | Clinic/Center | 3049 Senna Dr, Matthews, NC 28105-6727 | 2019-04-11 |
| 1114496502 | Acupuncture Balanced Health | Clinic/Center | 112 Perkins Dr Ste 200, Chapel Hill, NC 27514-1786 | 2018-11-15 |
| 1972071884 | Our Health Lab Inc | Clinic/Center | 1411 Asheville Hwy, Hendersonville, NC 28791-2301 | 2018-11-08 |
| 1679041552 | Serenity Rehabilitation Services | Clinic/Center | 2216 W Meadowview Rd Ste 201, Greensboro, NC 27407-3401 | 2018-11-08 |
| Find all providers with the same taxonomy | ||||
| City | BLADENBORO |
| Zip Code | 28320 |
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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.