Swift Creek Residential Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL-092033 Issued in NC

Legal business name

SWIFT CREEK RESIDENTIAL CARE

Practice address

5003 Yates Mill Pond Rd
Raleigh, NC 27606-8905

Phone

(919) 233-0576

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Edythe James-McMillan

Title

Owner-

Phone

(919) 233-0576

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306041165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 YATES MILL POND RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276068905",
            "telephone_number": "919-233-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 YATES MILL POND RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276068905",
            "telephone_number": "919-233-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWIFT CREEK RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMES-MCMILLAN",
        "authorized_official_first_name": "EDYTHE",
        "authorized_official_title_or_position": "OWNER-",
        "authorized_official_telephone_number": "919-233-0576",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-092033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Swenson
• Isabella Margaret Swiecicki, RD
• Angelica Lynn Swiersz, M.D.
• Paul J Swiersz, MD
• Ryan Swiezy
• Jessica Swiger
• Walter Kenneth Swing Sr., D.D.S.
• Caitlin Swingle
• Dijonna Bonay Swinney
• Lauryn Elissa Francis Swinson, M.ED., NCC, LPC

• Assisted Living Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.