COMPLETE CARE AT DARTMOUTH LLC (NPI# 1811422256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811422256 |
| Entity Type | Organization |
| Organization Name | COMPLETE CARE AT DARTMOUTH LLC |
| Practice Address |
300 Province Road Charlotte NC 28207 |
| Mailing Address |
1 Truman Ave Lakewood NJ 08701-5661 |
| Practice Telephone | 7043341671 |
| Mailing Telephone | 7329663091 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | SHALOM STEIN (MEMBER) |
| Authorized Official Telephone | 7329663091 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
300 PROVINCE ROAD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| 1548624992 | Cassandra Yoder | Obstetrics & Gynecology | 1350 S. Kings Dr., Myers Park Clinic Ob/gyn, Charlotte, NC 28207 | 2016-04-12 |
| Find all providers in zip 28207 | ||||
| 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 |
|---|---|---|---|---|
| 1962832899 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 10011 Providence Rd W, Charlotte, NC 28277-1561 | 2013-11-13 |
| 1861651770 | Melynda Ann Jones | Skilled Nursing Facility | 8945 Camden Creek Ln, 302, Charlotte, NC 28273-4908 | 2008-06-05 |
| 1992998504 | Aldersgate United Methodist Retirement Community, Inc. | Skilled Nursing Facility | 3625 Willard Farrow Drive, Charlotte, NC 28215-3220 | 2007-08-27 |
| 1427248905 | Park Village Rehab and Health, Inc. | Skilled Nursing Facility | 3223 Central Ave, Charlotte, NC 28205-5520 | 2007-07-31 |
| 1366577355 | White Oak Manor Charlotte Inc | Skilled Nursing Facility | 4009 Craig Ave, Charlotte, NC 28211-2505 | 2007-02-22 |
| 1437171485 | Eaton County Health and Rehabilitation Services | Skilled Nursing Facility | 530 W Beech St, Charlotte, MI 48813 | 2006-07-25 |
| 1992738009 | Hcc - Healthcare of Charlotte, LLC | Skilled Nursing Facility | 333 Hawthorne Ln, Charlotte, NC 28204-2433 | 2006-07-09 |
| 1669408969 | Granite Falls Ltc, LLC | Skilled Nursing Facility | 9200 Glenwater Dr, Charlotte, NC 28262-8557 | 2006-06-25 |
| 1215979059 | Wilora Lake Healthcare LLC | Skilled Nursing Facility | 6001 Wilora Lake Rd, Charlotte, NC 28212-2833 | 2006-06-12 |
| 1689621880 | Hunter Woods Healthcare LLC | Skilled Nursing Facility | 620 Tom Hunter Rd, Charlotte, NC 28213-5511 | 2006-05-31 |
| Find all providers in CHARLOTTE | ||||
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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.