J. LEE C. HEALTHCARE, INC. (NPI# 1992833321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992833321 |
| Entity Type | Organization |
| Organization Name | J. LEE C. HEALTHCARE, INC. |
| Practice Address |
401 Dillard's Mill Rd Tyner NC 27980 |
| Mailing Address |
347 Dillard's Mill Road Tyner NC 27980 |
| Practice Telephone | 2522218113 |
| Mailing Telephone | 2523125802 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JANET LEE COBB (MANAGER) |
| Authorized Official Telephone | 2523125802 |
| Authorized Official Credential | NHA, ALA, RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FCL-072007 | NC | Nursing & Custodial Care Facilities |
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FCL-021004 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804255 | 05 | |
| NC | 7804674 | 05 |
| Street Address |
401 DILLARD'S MILL RD |
| City | TYNER |
| State | NC |
| Zip Code | 27980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598202871 | Gateway Community Health Centers, Inc | Pharmacy | 2869 Virginia Rd, Tyner, NC 27980 | 2017-01-25 |
| 1689214157 | Casey Dail | Nurse Practitioner | 145 Hunters Fork Rd, Tyner, NC 27980-9416 | 2020-01-13 |
| 1134357908 | Kinsey Bass Ward | Speech-Language Pathologist | 147 Meadow Rd, Tyner, NC 27980-9600 | 2009-06-30 |
| 1194714840 | Francis L. Touron | Nurse Anesthetist, Certified Registered | 904 Dillards Mill Rd, Tyner, NC 27980-9615 | 2005-10-17 |
| 1477860138 | Anne H Ziemba | Early Intervention Provider Agency | 322 Dillards Mill Rd, Tyner, NC 27980-9636 | 2010-09-01 |
| 1114528650 | Grace Progressions | Early Intervention Provider Agency | 916 Happy Home Rd, Tyner, NC 27980-9659 | 2020-11-02 |
| 1467001669 | Jeanette Manley | Technician | 214 Yellow Hammer Rd, Tyner, NC 27980-9662 | 2019-09-10 |
| 1154961100 | Amanda Roberts | Specialist/Technologist, Other | 113 County Line Rd, Tyner, NC 27980-9690 | 2020-01-07 |
| 1417271339 | Talk To Me Speech and Language Services, Pllc | Speech-Language Pathologist | 516 Center Hill Rd, Tyner, NC 27980-9771 | 2010-03-22 |
| 1679853642 | Gateway Community Health Centers, Inc. | Nurse Practitioner | 2869 Virginia Rd, Tyner, NC 27980-9777 | 2011-08-23 |
| Find all providers in zip 27980 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| 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.