Carolina Adventist Retirement Systems Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0040 Issued in NC

Legal business name

CAROLINA ADVENTIST RETIREMENT SYSTEMS INC

Doing business as

W R Winslow Memorial Home

Practice address

1075 US Highway 17 S
Elizabeth City, NC 27909-7628

Phone

(252) 338-3975

Fax

(252) 338-0039

NPI assigned

Jun 14, 2005

Reactivated

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Deborah L Hawkins

Title

Chief Financial Officer

Phone

(828) 418-2334

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• W R Winslow Memorial Home Doing business as

Tax ID family

Elizabeth City Health and Rehabilitation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Elizabeth City Health and Rehabilitation, LLC

  • Skilled Nursing Facility
  • Elizabeth City, NC
  • NPI 1952766271
  NPD tax ID

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1730184102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 US HIGHWAY 17 S",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097628",
            "telephone_number": "252-338-3975",
            "fax_number": "252-338-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 US HIGHWAY 17 S",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097628",
            "telephone_number": "252-338-3975",
            "fax_number": "252-338-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ADVENTIST RETIREMENT SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2013-07-31",
        "deactivation_date": "2007-01-30",
        "reactivation_date": "2007-04-10",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "828-418-2334"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00933",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415036",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "W R Winslow Memorial Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawson Campbell
• Timothy Wayne Capps, M.D.
• Dianne S. Caprio, D.D.S.
• Care Advantage-North Carolina LLC
• Hannah Margurite Carlisle, MA, LCMHC-A
• Carolina Behavioral and Therapeutic Services
• Carolina Care and Management LLC (Parkton Place)
• Carolina Coastal Plastic Surgery, PC
• Carolina East Home Care Agency Inc
• Carolina Infinite Therapy PLLC

• Skilled Nursing Facility in Elizabeth City, NC
• Providers in Elizabeth City, 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 Jul 31, 2013; 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.