SPRUCE LTC GROUP, LLC (NPI# 1710312079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710312079 |
| Entity Type | Organization |
| Organization Name | SPRUCE LTC GROUP, LLC |
| Other Organization Name | CLEAR CREEK NURSING AND REHABILITATION CENTER |
| Practice Address |
10506 Clear Creek Commerce Dr Mint Hill NC 28227-7078 |
| Mailing Address |
Po Box 6249 Kinston NC 28501-0249 |
| Practice Telephone | 7045452377 |
| Practice Fax Number | 2529394254 |
| Mailing Telephone | 2525239094 |
| Mailing Fax Number | 2529394101 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2017-04-07 |
| Authorized Official Name | MS. KAREN G MCDANIEL (PRESIDENT/CEO) |
| Authorized Official Telephone | 2525239094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NURSING HOME LICENSE | NH0635 | 01 |
| Other Name | Type Code |
|---|---|
| Clear Creek Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689603060 | Spruce Ltc Group, LLC | Skilled Nursing Facility | 769 Old Cheraw Hwy, Hamlet, NC 28345 | 2006-06-30 |
| 1700812146 | Spruce Ltc Group, LLC | Skilled Nursing Facility | 403 Crestview Ave Sw, Wilson, NC 27893-4505 | 2006-06-25 |
| 1982640785 | Spruce Ltc Group, LLC | Skilled Nursing Facility | 706 Pineywood Rd, Thomasville, NC 27360-2753 | 2006-06-21 |
| 1235175175 | Spruce Ltc Group, LLC | Skilled Nursing Facility | 33426 Old Salisbury Rd, Albemarle, NC 28001-8342 | 2006-06-21 |
| Street Address |
10506 CLEAR CREEK COMMERCE DR |
| City | MINT HILL |
| State | NC |
| Zip Code | 28227-7078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457832032 | Lauren T Calfas | Occupational Therapist | 10506 Clear Creek Commerce Dr, Mint Hill, NC 28227-7078 | 2018-08-22 |
| 1679052757 | Kimberly Mcallister | Speech-Language Pathologist | 10506 Clear Creek Commerce Dr, Mint Hill, NC 28227-7078 | 2018-08-09 |
| 1952880031 | Kylee Paglia | Speech-Language Pathologist | 10506 Clear Creek Commerce Dr, Mint Hill, NC 28227-7078 | 2018-08-09 |
| 1073092177 | Jacqueline Ann Harding | Occupational Therapist | 10506 Clear Creek Commerce Dr, Mint Hill, NC 28227-7078 | 2018-08-09 |
| 1548790967 | Danielle Limparis | Physical Therapy Assistant | 10506 Clear Creek Commerce Dr, Mint Hill, NC 28227-7078 | 2017-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396693 | Phyllis Newsome Wilson | Technician | 8423 Empress Ct, Charlotte, NC 28227 | 2019-09-27 |
| 1134611239 | Alyssa Latonia Rodgers | Counselor | 7512 Spring Spruce Ln, Charlotte, NC 28227 | 2018-06-04 |
| 1114463429 | Andrea Henneberry | Physical Therapy Assistant | 9706 Stoney Glen Dr Apt L, Mint Hill, NC 28227 | 2017-01-10 |
| 1649726589 | Keba Bosley | Social Worker | 5912 Brightstar Valley Road, Mint Hill, NC 28227 | 2016-08-31 |
| 1710330071 | Carolina Family Services | Community/Behavioral Health | 5737 Old Magnolia Lane, Mint Hill, NC 28227 | 2016-07-21 |
| 1518311901 | Aynsley Girardeau | Optometrist | 7014 Tutor Street, Suite C, Mint Hill, NC 28227 | 2016-04-21 |
| 1487037875 | Shalini Kamodia | Dentist | 11300 Cresthill Dr Ste 105, Mint Hill, NC 28227 | 2015-07-02 |
| 1629455720 | Yes We Care Human Services of Mecklenburg County | Adult Companion | 8201 Willowlake Ct, Charlotte, NC 28227 | 2015-04-28 |
| 1841677077 | Hewitt Home Care | Psychiatric Residential Treatment Facility | 2331 Crownpoint Executive Drive, Charlotte, NC 28227 | 2015-04-27 |
| 1467847426 | Marguerita Sitrin Blaker | Psychologist | 2400 Crownpoint Executive Drive, Suite 100, Office #5, Charlotte, NC 28227 | 2015-04-06 |
| Find all providers in zip 28227 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.