Brunswick Cove Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0478 Issued in NC

Legal business name

BRUNSWICK COVE INC

Doing business as

Brunswick Cove Nursing Center

Practice address

1478 River Rd SE
Winnabow, NC 28479-5819

Phone

(910) 371-9894

Fax

(910) 371-9609

NPI assigned

Oct 17, 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. Zachary Blue Miller

Title

Consultant

Phone

(910) 371-9894

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BRUNSWICK COVE NURSING CENTER Doing business as

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730178351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 RIVER RD SE",
            "city": "WINNABOW",
            "state": "NC",
            "postal_code": "284795819",
            "telephone_number": "910-371-9894",
            "fax_number": "910-371-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 RIVER RD SE",
            "city": "WINNABOW",
            "state": "NC",
            "postal_code": "284795819",
            "telephone_number": "910-371-9894",
            "fax_number": "910-371-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK COVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "BLUE",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "910-371-9894",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406578",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405318",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRUNSWICK COVE NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizaberth Abernathy, OTR/L
• Helen Elizabeth Batts, M.A., CCC-SLP
• Sheri Ann Benya, RN
• Debra Beth Brigden, MSP, CCC-SLP
• Brunswick Cove Living Center, LLC
• Cape Fear Imaging, LLC
• Christopher James Charland, RN
• CR Resource Center Inc.
• Creative Solutions Child & Family Counseling, LLC

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