Active NPI
Cary Senior Housing I Opco, LLC
- Skilled Nursing Facility
- Cary, NC
National Provider Identifier
1164063756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CARY SENIOR HOUSING I OPCO, LLC
- Practice address
- 221 Brightmore Dr
Cary, NC 27518-8145 - Phone
- (984) 200-3688
- NPI assigned
- Oct 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph V Calcutt
- Title
- Cfo
- Phone
- (910) 815-3122
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | |||
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
221 Brightmore Dr
Cary, NC 27518-8145
Mailing address
44 McNeill PLZ
Whiteville, NC 28472-8602
Phone (910) 642-0224
Other names 1
- Swift Creek Health Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2187121 | Swift Creek Health Center at the Templeton | Certificate of waiver | Jun 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
215 Brightmore Dr
Cary, NC 27518
Phone (919) 235-6575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628553600000",
"number": "1164063756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 MCNEILL PLZ",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284728602",
"telephone_number": "910-642-0224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 BRIGHTMORE DR",
"city": "CARY",
"state": "NC",
"postal_code": "275188145",
"telephone_number": "984-200-3688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARY SENIOR HOUSING I OPCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-04",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A",
"authorized_official_last_name": "CALCUTT",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "910-815-3122"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Swift Creek Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.