RV ASSISTED LIVING, LLC


Address: 400 North Main Street, Rich Square, NC 27869-9568
Phone: 2525394145

RV ASSISTED LIVING, LLC (NPI# 1912144601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912144601
Entity Type Organization
Organization Name RV ASSISTED LIVING, LLC
Other Organization Name RICH SQUARE MANOR
Practice Address 400 North Main Street
Rich Square
NC 27869-9568
Mailing Address Po Box 2568
Hickory
NC 28603-2568
Practice Telephone 2525394145
Practice Fax Number 2525392479
Mailing Telephone 8283225535
Mailing Fax Number 8283268115
Enumeration Date 2009-01-16
Last Update Date 2009-01-22
Authorized Official Name DAVID LEO JOHNSON (DIRECTOR OF HUMAN RESOURCES)
Authorized Official Telephone 8282617335
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311500000X Alzheimer Center (Dementia Center) HAL-066-011 NC Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 7805825 05

Other Provider/Organization Names

Other Name Type Code
Rich Square Manor Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316184922 Rv Assisted Living, LLC Assisted Living Facility 310 North Main Street, Rich Square, NC 27869-9568 2009-01-20

Office Location

Street Address 400 NORTH MAIN STREET
City RICH SQUARE
State NC
Zip Code 27869-9568

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881762961 Rv Nursing Home, LLC Assisted Living Facility 400 North Main Street, Rich Square, NC 27869-0560 2006-11-30

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 311500000X
Grouping Nursing & Custodial Care Facilities
Classification Alzheimer Center (Dementia Center)

Taxonomy Definition

A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407227382 The Cardinal At North Hills Healthcare, LLC Alzheimer Center (Dementia Center) 311 Garden At North Hills, Raleigh, NC 27609 2015-10-16
1366677429 J & S Care Inc. Alzheimer Center (Dementia Center) 943 Goins Road, Pembroke, NC 28372-8362 2009-05-19
1669607727 Senior Memory Care LLC Alzheimer Center (Dementia Center) 4920 Harris Woods Blvd, Charlotte, NC 28269-0486 2009-05-19
1689827487 Five Star Quality Care- North Carolina, LLC Alzheimer Center (Dementia Center) 13180 Dorman Road, Pineville, NC 28134 2008-10-24
1326291121 Five Star Quality Care- North Carolina, LLC Alzheimer Center (Dementia Center) 6101 Clarke Creek Parkway, Charlotte, NC 28269-6238 2008-10-24
1932368586 Lutheran Retirement Ministries of Alamance County, North Carolina Alzheimer Center (Dementia Center) 3810 Heritage Dr, Burlington, NC 27215-9730 2008-06-07
1699932376 Royal Laine Healthcare, LLC Alzheimer Center (Dementia Center) 3017 Dunn Rd, Fayetteville, NC 28312-8885 2008-05-20
1629268511 Emeritus Corporation Alzheimer Center (Dementia Center) 2500 Heritage Circle, Hendersonville, NC 28791 2007-07-27
1417157975 Cranberry House, LLC Alzheimer Center (Dementia Center) 6215 Us 19e, Elk Park, NC 28622 2007-07-23
1629278437 Yancey House, LLC Alzheimer Center (Dementia Center) 6 Cooper Lane, Burnsville, NC 28714 2007-07-19
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Competitor

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City RICH SQUARE
Zip Code 27869

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Dataset Information

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.

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