Premier Living and Healthcare Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PREMIER LIVING AND HEALTHCARE CENTER LLC

Doing business as

Premier Living and Rehab Center

Practice address

106 Cameron St
Lake Waccamaw, NC 28450-1900

Phone

(910) 646-3132

NPI assigned

Dec 23, 2025

Last updated

Feb 3, 2026By 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

Samuel Goldsmith

Title

Authorized Official

Phone

(732) 619-3822

Specialties & licenses 1

Addresses

Other names 1

• Premier Living and Rehab Center Doing business as

Locations

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1750246591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CAMERON ST",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "284501900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CAMERON ST",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "284501900",
            "telephone_number": "910-646-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER LIVING AND HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-23",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-619-3822"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Living and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Waccamaw Fire & Rescue Squad
• Lake Waccamaw Primary Care, PLLC
• De'Voncia Lachel Mickins
• New Opportunities of Columbus Co.
• Danielle Nicole Poteat, LCSWA
• Premier Living and Rehab Center
• Amy Lawson Richardson, LCSW
• Thompson Child & Family Focus
• Thompson Child & Family Focus
• Town of Lake Waccamaw

• Skilled Nursing Facility in Lake Waccamaw, NC
• Providers in Lake Waccamaw, 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 Feb 3, 2026; 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.