SSC Statesville Brian Center Operating Company LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0176 Issued in NC

Legal business name

SSC STATESVILLE BRIAN CENTER OPERATING COMPANY LLC

Doing business as

Brian Center Health & Rehabilitation - Statesville

Practice address

520 Valley St
Statesville, NC 28677-7935

Phone

(704) 873-0517

NPI assigned

Mar 31, 2007

Last updated

Apr 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelle C Santoro

Title

Sr Director Ar

Phone

(832) 467-5728

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Brian Center Health & Rehabilitation - Statesville Doing business as

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1194845172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W SAM HOUSTON PKWY N",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415161",
            "telephone_number": "832-467-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 VALLEY ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286777935",
            "telephone_number": "704-873-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC STATESVILLE BRIAN CENTER OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "KELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SR DIRECTOR AR",
        "authorized_official_telephone_number": "832-467-5728"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "NH0176",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0176",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3435128",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID REST HOME",
            "identifier": "7805464",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID ICF",
            "identifier": "3436068",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian Center Health & Rehabilitation - Statesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosalind Ann Spells, MD
• Frank J Spence Jr., MD
• Bethany J Sprague
• Beverly B Sproul, FNP
• SSC Brian Center Health and Rehabilitation
• SSC Statesville Maple Leaf Operating Company LLC (Maple Leaf Health Care)
• Shayla Jenise St James
• Hannah Jean St. John, LCSWA
• Benjamin Robert Stacy, D.O.
• Amy Stamper

• Skilled Nursing Facility in Statesville, NC
• Providers in Statesville, 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 Apr 13, 2015; 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.