PPRC Nursing Home Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0155 Issued in NC

Legal business name

PPRC NURSING HOME INC.

Practice address

1795 Westchester Dr
High Point, NC 27262-7008

Phone

(336) 888-4567

Fax

(336) 888-4663

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sherry Ann Tilley

Title

Billing Manager

Phone

(336) 888-4567

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Venezela Thomas Slade-Hartman, M.D.

  • Family Medicine Physician
  • Winston Salem, NC
  • NPI 1083690036
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1043314602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 WESTCHESTER DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627008",
            "telephone_number": "336-888-4567",
            "fax_number": "336-888-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 WESTCHESTER DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627008",
            "telephone_number": "336-888-4567",
            "fax_number": "336-888-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPRC NURSING HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "336-888-4567",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416019",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415090",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela R. Powell
• Mary Paige Powell, PHD
• Power & Praise Tabernacle
• Raven Powers, PHARMD
• Ppllc
• PPRC Nursing Home, Inc
• Practical Solutions Counseling Services, PLLC
• Mitesh G Prajapati, PHARMD
• Nistha Prasai
• Marlena M Preece, LCSW, LCAS, CCSI

• Skilled Nursing Facility in High Point, NC
• Providers in High Point, 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 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.