GRANITE FALLS LTC, LLC (NPI# 1952337073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952337073 |
| Entity Type | Organization |
| Organization Name | GRANITE FALLS LTC, LLC |
| Other Organization Name | MAGNOLIA LANE NURSING AND REHABILITATION CENTER |
| Practice Address |
107 Magnolia Dr Morganton NC 28655-4505 |
| Practice Telephone | 8284378760 |
| Practice Fax Number | 8284375336 |
| Mailing Telephone | 8284378760 |
| Mailing Fax Number | 8284375336 |
| 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 | NH0343 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | UNITED HEALTHCARE # | 7108232 | 01 |
| NC | 3415219 | 05 | |
| NC | BC/BS OF NC | 0090T | 01 |
| NC | 3425219 | 05 |
| Other Name | Type Code |
|---|---|
| Magnolia Lane Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669408969 | Granite Falls Ltc, LLC | Skilled Nursing Facility | 9200 Glenwater Dr, Charlotte, NC 28262-8557 | 2006-06-25 |
| 1255367447 | Granite Falls Ltc, LLC | Skilled Nursing Facility | 1721 Bald Hill Loop, Madison, NC 27025-7624 | 2006-06-23 |
| 1457397952 | Granite Falls Ltc, LLC | Skilled Nursing Facility | 3195 Old Murphy Rd, Franklin, NC 28734-7213 | 2006-06-22 |
| 1366487464 | Granite Falls Ltc, LLC | Skilled Nursing Facility | 811 Snowbird Rd, Robbinsville, NC 28771-8103 | 2006-06-20 |
| 1174567531 | Granite Falls Ltc, LLC | Custodial Care Facility | 1808 N Cannon Blvd, Kannapolis, NC 28083-2670 | 2006-06-16 |
| 1508041310 | Granite Falls Ltc, LLC | Nursing Facility/Intermediate Care Facility | 811 Snowbird Rd, Robbinsville, NC 28771-8103 | 2007-12-31 |
| Street Address |
107 MAGNOLIA DR |
| City | MORGANTON |
| State | NC |
| Zip Code | 28655-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154800738 | Ann Odwyer Blackwell | Occupational Therapist | 107 Magnolia Dr, Morganton, NC 28655-4505 | 2018-08-14 |
| 1992285530 | Jolynn Lynell Sibole | Physical Therapist | 107 Magnolia Dr, Morganton, NC 28655-4505 | 2018-08-14 |
| 1447675194 | Amanda Parsons | Speech-Language Pathologist | 107 Magnolia Dr, Morganton, NC 28655-4505 | 2014-03-04 |
| 1881851319 | Tamra Clay Russell | Occupational Therapy Assistant | 107 Magnolia Dr, Morganton, NC 28655-4505 | 2008-05-21 |
| 1215124649 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 107 Magnolia Dr, Morganton, NC 28655-4505 | 2007-10-01 |
| 1801093109 | Continuum II Home Health & Hospice, Inc. | Home Health | 107 Magnolia Dr, Morganton, NC 28655-4505 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1225678071 | Melissa Marie Sisco | Psychologist | Broughton State Hospital, 1000 S. Sterling Street, Morganton, NC 28655 | 2020-01-09 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1538626015 | Morganton Opco Holdings, LLC | Assisted Living Facility | 330 Juniper St, Morganton, NC 28655 | 2019-02-21 |
| 1982174843 | Katie Breeze Heald Dds PC | Dentist | 679 W. Fleming Dr., Morganton, NC 28655 | 2018-12-04 |
| 1104317353 | Dr Liner Ward & Shobe Dds Pa | Dentist | 503 S. Green Street, Morganton, NC 28655 | 2018-05-23 |
| 1578069779 | Catawba Valley Medical Servies | Speech-Language Pathologist | 409b S Sterling St, Morganton, NC 28655 | 2018-04-05 |
| 1336685601 | Clear Perspective, LLC | Counselor | 140 Beach Street, Morganton, NC 28655 | 2017-01-11 |
| 1245604800 | Burke Integrated Health | Family Medicine | 350 East Parker Road, Morganton, NC 28655 | 2015-11-19 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| Find all providers in zip 28655 | ||||
| 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 |
|---|---|---|---|---|
| 1275519506 | Autumn Corporation | Skilled Nursing Facility | 307 Oakland Ave, Morganton, NC 28655-6928 | 2005-12-19 |
| 1295724581 | Grace Nursing Center, Inc. | Skilled Nursing Facility | 109 Foothills Dr, Morganton, NC 28655-5152 | 2005-10-19 |
| 1073172904 | Melissa Barlowe Harris | Skilled Nursing Facility | 109 Foothills Dr, Morganton, NC 28655 | 2019-06-13 |
| 1962066480 | Grace Heights Rehabilitation and Skilled Nursing Center, LLC | Skilled Nursing Facility | 109 Foothills Dr, Morganton, NC 28655-5152 | 2019-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063756 | Cary Senior Housing I Opco, LLC | Skilled Nursing Facility | 221 Brightmore Dr, Cary, NC 27518-8145 | 2019-10-04 |
| 1629535455 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 621 Chestnut Ridge Pkwy, Blowing Rock, NC 28605-8962 | 2019-02-28 |
| 1871063214 | Vero Health X, LLC | Skilled Nursing Facility | 417 Cloverdale Rd, Sylva, NC 28779-0679 | 2018-11-28 |
| 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 | ||||
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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.