SNOWSHOE LTC GROUP, LLC (NPI# 1811923931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811923931 |
| Entity Type | Organization |
| Organization Name | SNOWSHOE LTC GROUP, LLC |
| Other Organization Name | PINEY GROVE NURSING AND REHABILITATION CENTER |
| Practice Address |
728 Piney Grove Rd Kernersville NC 27284-2335 |
| Practice Telephone | 3369964038 |
| Practice Fax Number | 3369960644 |
| Mailing Telephone | 3369964038 |
| Mailing Fax Number | 3369960644 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2017-04-10 |
| Authorized Official Name | MS. KAREN G MCDANIEL (PRESIDENT) |
| Authorized Official Telephone | 2525239094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0256 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3405354 | 05 | |
| NC | UNITED HEALTHCARE # | 7108231 | 01 |
| NC | BC/BS OF NC | 0098C | 01 |
| NC | PARTNERS INSURANCE # | 15934 | 01 |
| NC | 3415354 | 05 |
| Other Name | Type Code |
|---|---|
| Piney Grove Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861504946 | Snowshoe Ltc Group, LLC | Skilled Nursing Facility | 1349 Crabtree Rd, Waynesville, NC 28785-7315 | 2006-08-31 |
| 1619908977 | Snowshoe Ltc Group, LLC | Skilled Nursing Facility | 801 Greenhaven Dr, Greensboro, NC 27406-7103 | 2006-07-05 |
| 1265463566 | Snowshoe Ltc Group, LLC | Clinic/Center | 730 Lunenburg Highway, Keysville, VA 23947 | 2006-07-05 |
| 1326074048 | Snowshoe Ltc Group, LLC | Skilled Nursing Facility | 308 W Meadowview Rd, Greensboro, NC 27406-3610 | 2006-06-24 |
| 1144405804 | Snowshoe Ltc Group, LLC | Nursing Facility/Intermediate Care Facility | 308 W Meadowview Rd, Greensboro, NC 27406-3610 | 2007-12-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Snowshoe LTC Group, LLC | 1435 Hwy 258 N , Kinston, NC 28504-7208 |
| Virginia Business Entity | Snowshoe LTC Group, LLC | 1435 HWY 258 N PO BOX 6159, KINSTON, NC 28501 |
| Street Address |
728 PINEY GROVE RD |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477186021 | Mia Letitia Brydie | Speech-Language Pathologist | 728 Piney Grove Rd, Kernersville, NC 27284-2335 | 2020-02-21 |
| 1578044723 | Lauren Myers | Speech-Language Pathologist | 728 Piney Grove Rd, Kernersville, NC 27284-2335 | 2018-08-26 |
| 1679052294 | Ruth Heather Whyte | Occupational Therapist | 728 Piney Grove Rd, Kernersville, NC 27284-2335 | 2018-08-14 |
| 1831354422 | Kelly Stephenson Thompson | Physical Therapist | 728 Piney Grove Rd, Kernersville, NC 27284-2335 | 2008-07-23 |
| 1124288378 | Angela Marie Lopez | Physical Therapy Assistant | 728 Piney Grove Rd, Kernersville, NC 27284-2335 | 2008-06-11 |
| 1447419098 | Colleen Marie Uzenski | Occupational Therapist | 728 Piney Grove Rd, Kernersville, NC 27284-2335 | 2008-06-07 |
| 1881869030 | Andrea Lynn Dew | Speech-Language Pathologist | 728 Piney Grove Rd, Kernersville, NC 27284-2335 | 2008-04-29 |
| 1861689291 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 728 Piney Grove Rd, Kernersville, NC 27284-2335 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
| 1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
| 1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
| 1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
| 1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
| Find all providers in zip 27284 | ||||
| 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. |
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| 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 | ||||
| City | KERNERSVILLE |
| Zip Code | 27284 |
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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.