SCI-DUPLIN HOUSE (NPI# 1821349101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821349101 |
Entity Type | Organization |
Organization Name | SCI-DUPLIN HOUSE |
Practice Address |
120 Orville Street Warsaw NC 28398-2221 |
Mailing Address |
Po Box 1636 Goldsboro NC 27533-1636 |
Practice Telephone | 9102933068 |
Enumeration Date | 2012-09-26 |
Last Update Date | 2019-01-18 |
Authorized Official Name | PAUL HACKMANN (CEO) |
Authorized Official Telephone | 9197347398 |
Is Organization Subpart | Y |
Parent Organization Name | SKILL CREATIONS INCORPORATED |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 313M00000X | Nursing Facility/Intermediate Care Facility | MHL-031-009 | NC | Nursing & Custodial Care Facilities |
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | MHL-031-009 | NC | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 340602P | 05 |
Street Address |
120 ORVILLE STREET |
City | WARSAW |
State | NC |
Zip Code | 28398-2221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659895985 | Jessica Lanier Gillen | Physical Therapy Assistant | 214 Lane Field Rd, Warsaw, NC 28398 | 2017-07-28 |
1023386190 | Afs of Warsaw, Inc. | Skilled Nursing Facility | 214 Lanefield Road, Warsaw, NC 28398 | 2011-12-05 |
1205195492 | Sovran Senior Living LLC | Assisted Living Facility | 214 Lanefield Rd, Warsaw, NC 28398 | 2012-05-09 |
1588736458 | William J Stoppelbein | Dentist | 121 Duplin Professional Court, Warsaw, NC 28398-0424 | 2006-11-15 |
1972650059 | Stoppelbein & Hardison, Dds Pa | Dentist | 121 Duplin Professional Court, Warsaw, NC 28398-0424 | 2007-01-04 |
1922170802 | Christopher D Hardison | Dentist | 121 Duplin Professional Court, Warsaw, NC 28398-0424 | 2006-11-15 |
1851423610 | Unified Nursing Care Service | Home Health | 103 W Chelly St, Warsaw, NC 28398-1332 | 2007-03-09 |
1467781898 | Omega Home Care Agency | Home Health | 213 E North St, Warsaw, NC 28398-1432 | 2009-12-14 |
1134669633 | Smarter Companion Care | Respite Care | 105 Clark Plz, Warsaw, NC 28398-1800 | 2017-03-02 |
1376552331 | Rai Care Centers of North Carolina II, LLC | Clinic/Center | 213 West College Street, Warsaw, NC 28398-1811 | 2006-08-07 |
Find all providers in zip 28398 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598960890 | Duplin Sampson Group Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 716 Curtis Rd, Warsaw, NC 28398-2204 | 2007-06-18 |
1831122621 | Echoing Hills Village, Inc. | Intermediate Care Facility, Mentally Retarded | 36272 County Road 79, Warsaw, OH 43844-9770 | 2006-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730702937 | Gha Autism Supports | Intermediate Care Facility, Mentally Retarded | 44012 Morrow Mountain Rd, Albemarle, NC 28001-8616 | 2020-05-21 |
1811517774 | Educare Community Living Corporation-north Carolina | Intermediate Care Facility, Mentally Retarded | 834 Tyvola Rd Ste 116, Charlotte, NC 28217-3542 | 2020-04-21 |
1598125460 | Rha Health Services Nc LLC | Intermediate Care Facility, Mentally Retarded | 410 N Mineral Springs Rd, Durham, NC 27703-3618 | 2016-03-04 |
1023478294 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 619 Ray Ave, Hendersonville, NC 28792-2668 | 2016-03-02 |
1740649417 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 310 Locust Street, West Jefferson, NC 28694 | 2016-02-23 |
1841655453 | Journeys Healthcare | Intermediate Care Facility, Mentally Retarded | 515 Carver Moore Rd, Lake Waccamaw, NC 28450-9713 | 2015-12-24 |
1326414665 | Rha North Carolina Mr, Inc. | Intermediate Care Facility, Mentally Retarded | 1388 Lewis Fork Baptist Ch Rd, Ferguson, NC 28624-9080 | 2015-08-20 |
1609299916 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 1802 Strickland Bridge Rd, Fayetteville, NC 28304-5739 | 2014-01-23 |
1861822314 | Voca Corporation of North Carolina | Intermediate Care Facility, Mentally Retarded | 4109 Enoch Dr, Charlotte, NC 28269-2578 | 2013-11-20 |
1902144314 | Rouse's Group Home Inc | Intermediate Care Facility, Mentally Retarded | 5820 Nc 135, Stoneville, NC 27048-8478 | 2013-01-18 |
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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.