Shoreland Health Care & Retirement Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0510 Issued in NC

Legal business name

SHORELAND HEALTH CARE & RETIREMENT CENTER INC

Practice address

200 Flowers Pridgen Rd
Whiteville, NC 28472-9110

Phone

(910) 642-4300

Fax

(910) 642-4405

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Joe Calcutt

Title

Cfo

Phone

(910) 332-1793

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Tax ID family

Shoreland Health Care and Retirement Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Shoreland Healthcare & Retirement Center Inc

  • Skilled Nursing Facility
  • Whiteville, NC
  • NPI 1689628141
  NPD tax ID
• Shoreland Healthcare and Retirement Center Inc

  • Assisted Living Facility
  • Whiteville, NC
  • NPI 1902949365
  NPD tax ID

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649313008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 S 41ST ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035502",
            "telephone_number": "910-815-3122",
            "fax_number": "910-642-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FLOWERS PRIDGEN RD",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284729110",
            "telephone_number": "910-642-4300",
            "fax_number": "910-642-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELAND HEALTH CARE & RETIREMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALCUTT",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-332-1793"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406388",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anup Kumar Sharma, M.D.
• Laura Nye Shaw, LCSWA
• Linda S Shelburne, RPH
• Shelburnes Pharmacy Inc
• Jennifer Caroline Shirley, MSW, LCSWA
• Shoreland Healthcare & Retirement Center Inc
• Shoreland Healthcare and Retirement Center Inc
• Signet Healthcare, PC
• Lauren W. Simmons, APRN, FNP-C
• Selena Patrick Simmons, FNP-C

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