RV NURSING HOME, LLC (NPI# 1881762961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881762961 |
| Entity Type | Organization |
| Organization Name | RV NURSING HOME, LLC |
| Other Organization Name | RICH SQUARE MANOR |
| Practice Address |
400 North Main Street Rich Square NC 27869-0560 |
| Mailing Address |
400 North Main Street P O Box 560 Rich Square NC 27869-0560 |
| Practice Telephone | 2525394145 |
| Practice Fax Number | 2525392479 |
| Mailing Telephone | 2525394145 |
| Mailing Fax Number | 2525392479 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-08-10 |
| Authorized Official Name | MR. JAMES T JOHNSON JR. (OWNER) |
| Authorized Official Telephone | 2522096834 |
| Is Organization Subpart | Y |
| Parent Organization Name | RV NURSING HOME LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL-066-011 | NC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Rich Square Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649348707 | Rv Nursing Home, LLC | Assisted Living Facility | 310 North Main Street, Rich Square, NC 27869-0560 | 2006-11-30 |
| 1336216779 | Rv Nursing Home, LLC | Skilled Nursing Facility | 320 North Main Street, Rich Square, NC 27869-0560 | 2006-11-29 |
| Street Address |
400 NORTH MAIN STREET |
| City | RICH SQUARE |
| State | NC |
| Zip Code | 27869-0560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912144601 | Rv Assisted Living, LLC | Alzheimer Center (Dementia Center) | 400 North Main Street, Rich Square, NC 27869-9568 | 2009-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538619911 | Eastside Ems, Inc | Ambulance | 308 West Jackson Street, Rich Square, NC 27869 | 2016-10-10 |
| 1396130134 | Carmelita Edwards | Counselor | 123 N Main Street, Rich Square, NC 27869 | 2015-03-30 |
| 1356641468 | Nicole S Howell | Pharmacist | 124 South Main Street, Rich Square, NC 27869 | 2010-10-25 |
| 1588803068 | Community Day Program, LLC | Community/Behavioral Health | 117 W Jackson St., Rich Square, NC 27869 | 2009-02-06 |
| 1063670511 | Letesha Renee Gibson | Counselor | Hwy 258 409 N Main Street, Rich Square, NC 27869 | 2008-05-30 |
| 1912115585 | Robert Boone Outland Jr. | Dentist | 504 South Main St, Rich Square, NC 27869 | 2007-05-18 |
| 1538380134 | Mesina Reddish | Dietitian, Registered | 116 Pine Street, Rich Square, NC 27869 | 2007-05-01 |
| 1518996404 | Kind Hearts Home Health Care, Inc. | Home Health | 104 Short St., P. O. Drawer 820, Rich Square, NC 27869 | 2006-07-02 |
| 1205812427 | Autumn Corporation | Skilled Nursing Facility | 320 N. Main St, Rich Square, NC 27869 | 2005-12-20 |
| 1023519063 | Hsc Therapeutic Counseling Services, Pllc | Counselor | 409 North Main Street, Rich Square, NC 27869 | 2018-02-26 |
| Find all providers in zip 27869 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649348707 | Rv Nursing Home, LLC | Assisted Living Facility | 310 North Main Street, Rich Square, NC 27869-0560 | 2006-11-30 |
| 1316184922 | Rv Assisted Living, LLC | Assisted Living Facility | 310 North Main Street, Rich Square, NC 27869-9568 | 2009-01-20 |
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| 1003444258 | Trinity Developmental Center, LLC | Assisted Living Facility | 4027 Franklin Meadows Dr, Matthews, NC 28105-6935 | 2020-03-31 |
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| 1710528377 | Grace Village Inc | Assisted Living Facility | 501 River Bend Dr., Granite Falls, NC 28630 | 2019-10-04 |
| 1336799246 | Tieshquanna Ciare Richardson | Assisted Living Facility | 312 Kilgo St, Clayton, NC 27520-1651 | 2019-09-13 |
| 1326695404 | Snh Nc Tenant LLC | Assisted Living Facility | 5920 Mcchesney Dr, Charlotte, NC 28269-6238 | 2019-08-22 |
| 1659928174 | Coastal Pointe Senior Living LLC | Assisted Living Facility | 5220 Ocean Hwy W, Shallotte, NC 28470-4006 | 2019-08-20 |
| 1861046674 | A1a-arc of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd, Dunn, NC 28334-6240 | 2019-07-30 |
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
| City | RICH SQUARE |
| Zip Code | 27869 |
Please comment or provide details below to improve the information on RV NURSING HOME, LLC.
| 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.