SPRUCE LTC GROUP, LLC (NPI# 1982640785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982640785 |
| Entity Type | Organization |
| Organization Name | SPRUCE LTC GROUP, LLC |
| Other Organization Name | PINE RIDGE HEALTHCARE AND REHABILITATION CENTER |
| Practice Address |
706 Pineywood Rd Thomasville NC 27360-2753 |
| Practice Telephone | 3364759116 |
| Practice Fax Number | 3364759120 |
| Mailing Telephone | 3364759116 |
| Mailing Fax Number | 3364759120 |
| Enumeration Date | 2006-06-21 |
| 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 | NH0187 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | PARTNERS INSURANCE | 20575 | 01 |
| NC | 3415144 | 05 | |
| NC | UNITED HEALTHCARE | 71-08235 | 01 |
| NC | BC/BS OF NC | 0097U | 01 |
| NC | 3425144 | 05 |
| Other Name | Type Code |
|---|---|
| Pine Ridge Healthcare and Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710312079 | Spruce Ltc Group, LLC | Skilled Nursing Facility | 10506 Clear Creek Commerce Dr, Mint Hill, NC 28227-7078 | 2013-09-05 |
| 1689603060 | Spruce Ltc Group, LLC | Skilled Nursing Facility | 769 Old Cheraw Hwy, Hamlet, NC 28345 | 2006-06-30 |
| 1700812146 | Spruce Ltc Group, LLC | Skilled Nursing Facility | 403 Crestview Ave Sw, Wilson, NC 27893-4505 | 2006-06-25 |
| 1235175175 | Spruce Ltc Group, LLC | Skilled Nursing Facility | 33426 Old Salisbury Rd, Albemarle, NC 28001-8342 | 2006-06-21 |
| Street Address |
706 PINEYWOOD RD |
| City | THOMASVILLE |
| State | NC |
| Zip Code | 27360-2753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366923377 | Claire Louise Cuthrell | Speech-Language Pathologist | 706 Pineywood Rd, Thomasville, NC 27360-2753 | 2018-08-27 |
| 1811476468 | Bhawna Sadhwani | Physical Therapist | 706 Pineywood Rd, Thomasville, NC 27360-2753 | 2018-08-13 |
| 1609355775 | Sheryl Ann Hall | Occupational Therapist | 706 Pineywood Rd, Thomasville, NC 27360-2753 | 2018-08-09 |
| 1790215622 | Amanda Nicole Rzepczynski | Occupational Therapist | 706 Pineywood Rd, Thomasville, NC 27360-2753 | 2017-06-13 |
| 1114466992 | Heather Naschke | Physical Therapist | 706 Pineywood Rd, Thomasville, NC 27360-2753 | 2017-02-14 |
| 1215103189 | Kimberly Dawn Moser I | Occupational Therapist | 706 Pineywood Rd, Thomasville, NC 27360-2753 | 2008-05-01 |
| 1922274752 | Harvey Culleton | Physical Therapy Assistant | 706 Pineywood Rd, Thomasville, NC 27360-2753 | 2008-05-01 |
| 1144495292 | Sandra Esquivel | Occupational Therapy Assistant | 706 Pineywood Rd, Thomasville, NC 27360-2753 | 2008-04-29 |
| 1417144841 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 706 Pineywood Rd, Thomasville, NC 27360-2753 | 2007-10-01 |
| 1164616462 | Yasmine Monique Neal | Occupational Therapist | 706 Pineywood Rd, Thomasville, NC 27360-2753 | 2007-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659994309 | Jazmin Arielle Cromartie | Dentist | 1235 Davidson Community College Rd, Thomasville, NC 27360 | 2020-05-28 |
| 1235609835 | Amekia A Thomas | Counselor | 205 Princeton Xing, Thomasville, NC 27360 | 2018-11-27 |
| 1801340252 | Hospitality Home Care, Inc | Home Health | 508 National Highway, #320, Thomasville, NC 27360 | 2016-08-14 |
| 1629472568 | East Carolina University School of Dental Medicine-davidson | Dentist | 1235 Dccc Road, Thomasville, NC 27360 | 2014-10-21 |
| 1699116723 | Kala Brown Brewer | Optometrist | 1040 Randolph St Ste 14-15, Thomasville, NC 27360 | 2013-07-17 |
| 1740511989 | Cornerstone Health Care LLC | Podiatrist | 211 Old Lexington Road, Thomasville, NC 27360 | 2010-01-28 |
| 1760695472 | Susan Hunter Squires | Counselor | 3954 North Nc Hwy 109, Ledford Middle School School Counselor, Thomasville, NC 27360 | 2007-05-08 |
| 1508961178 | Rebecca Lee Johnson | Social Worker | 17 East Main Street, Thomasville, NC 27360 | 2006-09-14 |
| 1437160124 | Rick H Jackson | Chiropractor | 630 National Highway, Thomasville, NC 27360 | 2006-08-10 |
| 1144253436 | Haresh M Kathard | Family Medicine | 207 Old Lexington Road, Thomasville, NC 27360 | 2006-07-09 |
| Find all providers in zip 27360 | ||||
| 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 |
|---|---|---|---|---|
| 1366866899 | C R of Thomasville LLC | Skilled Nursing Facility | 120 Skyline Dr, Thomasville, GA 31757-2507 | 2014-02-04 |
| 1407908155 | Adk Thomasville Operator, LLC | Skilled Nursing Facility | 120 Skyline Drive, Thomasville, GA 31757-2507 | 2007-01-16 |
| 1750397402 | Thomasville Health Care and Rehabilitation Center | Skilled Nursing Facility | 1425 Mosley Dr, Thomasville, AL 36784-3334 | 2006-08-01 |
| 1508806142 | John D. Archbold Memorial Hospital, Inc. | Skilled Nursing Facility | 10629 Us Highway 19 S, Thomasville, GA 31792-1127 | 2006-06-08 |
| 1881646818 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 804 S Broad St, Thomasville, GA 31792-6111 | 2006-05-17 |
| 1194777656 | Ggnsc Thomasville LLC | Skilled Nursing Facility | 930 S Broad St, Thomasville, GA 31792-6195 | 2006-05-16 |
| 1124015458 | United Church Homes and Services | Skilled Nursing Facility | 100 Hedrick Dr, Thomasville, NC 27360-6009 | 2005-10-03 |
| 1023638285 | Crowne Health Care of Thomasville,llc | Skilled Nursing Facility | 1425 Mosley Dr, Thomasville, AL 36784-3334 | 2020-04-17 |
| 1760970867 | Curis At Thomasville Opco LLC | Skilled Nursing Facility | 1028 Blair St, Thomasville, NC 27360 | 2018-04-25 |
| 1508316894 | Thomasville Operating Company LLC | Skilled Nursing Facility | 930 S Broad St, Thomasville, GA 31792-6195 | 2016-10-11 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 27360 |
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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.