SENIOR CITIZENS HOME INC (NPI# 1740278126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740278126 |
| Entity Type | Organization |
| Organization Name | SENIOR CITIZENS HOME INC |
| Practice Address |
2275 Ruin Creek Rd Henderson NC 27537-8732 |
| Practice Telephone | 2524920066 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | MR. HERMAN DAVIS III (ADMINISTRATOR) |
| Authorized Official Telephone | 2524920066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | NH0477 | NC | Nursing & Custodial Care Facilities |
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | NH0477 | NC | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | NH0477 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3405316 | 05 | |
| NC | 7801016 | 05 | |
| NC | 3406558 | 05 |
| Street Address |
2275 RUIN CREEK RD |
| City | HENDERSON |
| State | NC |
| Zip Code | 27537-8732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528530540 | Christopher Talis Porter | Physical Therapy Assistant | 2275 Ruin Creek Rd, Henderson, NC 27537-8732 | 2019-01-02 |
| 1497220966 | Hannah Marie Abbott | Physical Therapy Assistant | 2275 Ruin Creek Rd, Henderson, NC 27537-8732 | 2018-10-10 |
| 1912498858 | Jesse Stephen White | Physical Therapy Assistant | 2275 Ruin Creek Rd, Henderson, NC 27537-8732 | 2018-05-26 |
| 1316438948 | Beulah Margaret Gracelyn Daniel Nirmal Singh | Physical Therapist | 2275 Ruin Creek Rd, Henderson, NC 27537 | 2018-05-18 |
| 1972001253 | Nyesha Hardy | Occupational Therapy Assistant | 2275 Ruin Creek Rd, Henderson, NC 27537-8732 | 2018-01-31 |
| 1629586425 | Karen Marie Teller | Speech-Language Pathologist | 2275 Ruin Creek Rd, Henderson, NC 27537-8732 | 2018-01-15 |
| 1467969113 | Lacy Dunn | Physical Therapy Assistant | 2275 Ruin Creek Rd, Henderson, NC 27537-8732 | 2018-01-03 |
| 1558874552 | Paul Edward Novak | Physical Therapy Assistant | 2275 Ruin Creek Rd, Henderson, NC 27537-8732 | 2017-11-13 |
| 1841625670 | Janna Renee Garcia | Speech-Language Pathologist | 2275 Ruin Creek Rd, Henderson, NC 27537-8732 | 2013-09-11 |
| 1831539824 | Legacy | Skilled Nursing Facility | 2275 Ruin Creek Rd, Henderson, NC 27537-8732 | 2013-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931564 | Bonie Teal | Technician | 24 Waters Edge Rd, Henderson, NC 27537 | 2019-09-13 |
| 1720517147 | Jackson Thompson | Specialist/Technologist | 296 Cross Creek Rd, Henderson, NC 27537 | 2017-06-08 |
| 1346643160 | The Turner Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1945 Carey Chapel Road, Henderson, NC 27537 | 2014-10-07 |
| 1306285994 | Brown Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6789 Vicksboro Road, Henderson, NC 27537 | 2013-06-18 |
| 1518306349 | Peace Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Bliley Lane, Henderson, NC 27537 | 2013-06-14 |
| 1346555349 | New Direction Ministries, Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 825 Thomas Road, Henderson, NC 27537 | 2010-08-13 |
| 1326371881 | Transforming Therapeutic Intensive Services | Clinic/Center | 416 Forest Hills Drive, Henderson, NC 27537 | 2009-09-15 |
| 1811166507 | D.d. Residential Services, Inc | Community/Behavioral Health | 941 U.S. 158, Vance Adult Group Home, Henderson, NC 27537 | 2008-02-27 |
| 1083770598 | A.g.a.p.e. Community Development Corporation, Inc. | Case Management | 265 Satterwhite Point Road, Henderson, NC 27537 | 2006-12-29 |
| 1710380407 | The J Williams Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 287 Oak Hill Loop, Henderson, NC 27537 | 2014-10-08 |
| Find all providers in zip 27537 | ||||
| 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 |
|---|---|---|---|---|
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1437697430 | Ahc of Henderson LLC | Skilled Nursing Facility | 1285 East Cactus Avenue, Henderson, NV 89183-7714 | 2017-02-09 |
| 1508303090 | Ghc of Henderson LLC | Skilled Nursing Facility | 2855 W Horizon Ridge Pkwy, Henderson, NV 89052 | 2017-01-23 |
| 1699111948 | Advancing Teams Management LLC | Skilled Nursing Facility | 712 Fair Park Dr, Henderson, TX 75654-3208 | 2013-05-14 |
| 1356402515 | Autumn Leaves Nursing and Rehab Inc | Skilled Nursing Facility | 321 Kilgore Dr, Henderson, TX 75652-5215 | 2006-12-12 |
| 1043383771 | Extendicare Homes, Inc. | Skilled Nursing Facility | 2500 N Elm St, Henderson, KY 42420-2005 | 2006-11-17 |
| 1316034598 | Thi of Nevada At Henderson Convalescent LLC | Skilled Nursing Facility | 1180 E Lake Mead Pkwy, Henderson, NV 89015-5561 | 2006-10-07 |
| 1902997356 | Chester Co Healthcare, Inc. | Skilled Nursing Facility | 412 Juanita Dr, Henderson, TN 38340-1949 | 2006-09-28 |
| 1033220348 | Kindred Nursing Centers East, L.L.C. | Skilled Nursing Facility | 280 S Beckford Dr, Henderson, NC 27536-2564 | 2006-08-31 |
| 1972547321 | Eagle Peak Ltc Group, LLC | Skilled Nursing Facility | 1245 Park Ave, Henderson, NC 27536-4025 | 2006-06-16 |
| Find all providers in HENDERSON | ||||
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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.