Smithfield Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0182 Issued in NC

Legal business name

SMITHFIELD MANOR, INC.

Practice address

902 Berkshire Rd
Smithfield, NC 27577-4731

Phone

(919) 934-3171

Fax

(919) 934-5960

NPI assigned

Oct 7, 2005

Last updated

Aug 22, 2020By 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

Mr. David F Arnn Sr.

Title

Administrator

Phone

(919) 934-3171

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Josefina Diaz, M.D

  • Family Medicine Physician
  • Winston Salem, NC
  • NPI 1972675775
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649268335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1940",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275771940",
            "telephone_number": "919-934-3171",
            "fax_number": "919-934-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 BERKSHIRE RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774731",
            "telephone_number": "919-934-3171",
            "fax_number": "919-934-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHFIELD MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARNN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-934-3171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00939",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415175",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smithfield Eye Associates Optometry (Haines Vision Care)
• Smithfield Family Eye Care OD PA (Clarity Vision)
• Smithfield Family Practice PA
• Smithfield Holdings LLC (Smithfield House West)
• Smithfield Holdings, LLC (Smithfield House West)
• Smithfield Pulmonology
• Smithfield Radiation Oncology, LLC (UNC Radiation Oncology at Smithfield)
• Smithfield SNF Operations LLC (Smithfield Manor Rehabilitation and Healthcare Center)
• Sutton Sneed
• Alexandria Soros, CPNP

• Skilled Nursing Facility in Smithfield, NC
• Providers in Smithfield, 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 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.