Smithfield East Health Holdings, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-051-048 Issued in NC

Legal business name

SMITHFIELD EAST HEALTH HOLDINGS, LLC

Practice address

84 Johnson Estate Road
Clayton, NC 27520

Phone

(919) 359-3878

Fax

(919) 359-3876

NPI assigned

Apr 9, 2013

Organization subpart

Yes

Parent organization

SABER HEALTHCARE HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

William I. Weisberg

Title

President

Phone

(216) 292-5706

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gabriel Manor Assisted Living Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1639512734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23700 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225827",
            "telephone_number": "216-292-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 JOHNSON ESTATE ROAD",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "27520",
            "telephone_number": "919-359-3878",
            "fax_number": "919-359-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHFIELD EAST HEALTH HOLDINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
        "enumeration_date": "2013-04-09",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-292-5706"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-051-048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639512734",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gabriel Manor Assisted Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole E Smith, LCSW
• Robin Smith, LCMHC
• Tiffany S Smith, COTA/L
• Tyler Cavin Smith, DPT
• Victoria Ruth Neighbors Smith
• Erica Brooke Soltau, COTA/L
• Caitlin Somarriba, DPT
• Southeast Medspa Laser & Wellness
• Southeast Women'S Center, PLLC
• Southern Living Family Dentistry

• Assisted Living Facility in Clayton, NC
• Providers in Clayton, 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 Feb 14, 2022; 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.

Verify at the official NPI Registry.