Snowshoe LTC Group, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

NH0552 Issued in NC

Legal business name

SNOWSHOE LTC GROUP, LLC

Practice address

308 W Meadowview Rd
Greensboro, NC 27406-3610

Phone

(336) 230-0534

Fax

(336) 230-1664

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Gale Boice

Title

Cfo

Phone

(252) 523-9094

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Maple Grove Health and Rehabilitation Center Doing business as

Electronic endpoints 1

Tax ID family

Ability Network5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Snowshoe LTC Group, LLC

  • Skilled Nursing Facility
  • Greensboro, NC
  • NPI 1326074048
  NPD tax ID
• Snowshoe LTC Group, LLC

  • Skilled Nursing Facility
  • Greensboro, NC
  • NPI 1619908977
  NPD tax ID
• Snowshoe LTC Group, LLC

  • Skilled Nursing Facility
  • Waynesville, NC
  • NPI 1861504946
  NPD tax ID
• Snowshoe LTC Group, LLC

  • Skilled Nursing Facility
  • Keysville, VA
  • NPI 1265463566
  NPD tax ID

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1144405804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W MEADOWVIEW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274063610",
            "telephone_number": "336-230-0534",
            "fax_number": "336-230-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W MEADOWVIEW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274063610",
            "telephone_number": "336-230-0534",
            "fax_number": "336-230-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOWSHOE LTC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2022-08-12",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "BOICE",
        "authorized_official_first_name": "GALE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-523-9094"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "NH0552",
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0552",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806638",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802688",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Maple Grove Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maple Grove Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kara Snodgrass
• Susan D Snodgrass, PTA
• Nicole Marie Snow, PHARMD
• Peter Snow, NP
• Robert Snow
• Snowshoe LTC Group, LLC
• Snowshoe LTC Group, LLC
• Audrey Snyder, NP
• Danielle Snyder, RN
• Jenna Dara Snyder, LPCA

• Adult Care Home Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.