Bertina Scott

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

MHL084107 Issued in NC

Practice address

43653 Colonial Heights Rd
New London, NC 28127-9580

Phone

(704) 422-4080

NPI assigned

Nov 11, 2013

Last updated

Nov 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scott's Family Care Home

  • Adult Care Home Facility
  • Badin, NC
  • NPI 1144651811
  NPD (past) Authorized official

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1255760245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 KNOLLWOOD CIR",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280019689",
            "telephone_number": "704-984-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43653 COLONIAL HEIGHTS RD",
            "city": "NEW LONDON",
            "state": "NC",
            "postal_code": "281279580",
            "telephone_number": "704-422-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "BERTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-11",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL084107",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL084107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renew You Therapy Services
• Rha Health Services NC LLC
• Rha Health Services NC LLC
• Rha Health Services NC LLC
• Carson Robert Elijah Salyers
• Dawn Swantko, LCMHC
• Jamie P Thompson, LMFTA

• Adult Care Home Facility in New London, NC
• Providers in New London, 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 Nov 24, 2023; 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.