North Raleigh Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NORTH RALEIGH OPERATOR LLC

Practice address

5201 Clarks Fork Dr
Raleigh, NC 27616-5868

Phone

(919) 872-7033

NPI assigned

Mar 27, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Craig Neiswanger

Title

Authorized Agent

Phone

(919) 872-7033

Specialties & licenses 1

Addresses

Other names 1

• Perry Creek Health and Rehabilitation Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1003667262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 CLARKS FORK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165868",
            "telephone_number": "919-872-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 CLARKS FORK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165868",
            "telephone_number": "919-872-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RALEIGH OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "NEISWANGER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "919-872-7033"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perry Creek Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Raleigh Family Medicine
• North Raleigh Integrated Primary Care PLLC
• North Raleigh Medical Center P.a.
• North Raleigh Mental Health and Wellness, PLLC
• North Raleigh Mental Health, PA
• North Raleigh Ophthalmology, P.a.
• North Raleigh Physical Medicine PC
• North Raleigh Plastic Surgery, PA
• North Raleigh Psychiatry, PA
• North Raleigh Sleep Center PLLC

• Skilled Nursing Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.