Organization Active NPI

Alamance Extended Care, Inc.

  • Skilled Nursing Facility
  • Burlington, NC
National Provider Identifier
1750418802
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0596 Issued in NC
Legal business name
ALAMANCE EXTENDED CARE, INC.
Practice address
1860 Brookwood Ave
Burlington, NC 27215-3200
Phone
(336) 570-8456
Fax
(336) 570-8460
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Michael Benton
Title
Cfo
Phone
(336) 570-8458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0596 NC Primary

Addresses

Primary practice location

1860 Brookwood Ave
Burlington, NC 27215-3200

Mailing address

1860 Brookwood Ave
Burlington, NC 27215-3200
Phone (336) 570-8456

Other identifiers 7

IdentifierTypeStateIssuer
0015735MedicaidNC
39746OtherNCPARTNERS MEDICARE CHOICE
7805329MedicaidNC
00826OtherNCBLUE CROSS BLUE SHIELD
3416590MedicaidNC
3415091MedicaidNC
7100024OtherNCUNITED HEALTHCARE MEDICAR

Other names 1

  • Edgewood Place at the Village at Brookwood Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050401000675 NC Part A Provider - Skilled Nursing Facility 4183671126 Practice locations: Burlington, NC

Skilled nursing facility certification: CCN 345091

Legal name
ALAMANCE EXTENDED CARE, INC.
Doing business as
EDGEWOOD PLACE AT THE VILLAGE AT BROOKWOOD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 1, 1973
Last certification
May 10, 2024
Beds
75 (51 certified)
Ownership / control type
Nonprofit Corporation
Multi-facility organization
kintura
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2001 in NC
Enrollment address
1820 Brookwood Avenue
Burlington, NC 27215-3200
Nursing home name
EDGEWOOD PLACE AT THE VILLAGE AT BROOKWOOD

Care Compare: Nursing home

Medicare Care Compare
Listed as
Edgewood Place at the Village at BrookwoodCCN 345091
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
May 1, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5121.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0881486Alamance Extended Care Dba the Village1820 Brookwood Ave, Burlington, NC 27215Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alan Tutterow Individual Corporate OfficerChief Operating Officer and Cfo Jul 1, 1993
April Mayberry Individual Operational/Managerial Control Sep 3, 2019
Well Spring Retirement Community Organization, Greensboro, NC Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750418802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 BROOKWOOD AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153200",
            "telephone_number": "336-570-8456",
            "fax_number": "336-570-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 BROOKWOOD AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153200",
            "telephone_number": "336-570-8456",
            "fax_number": "336-570-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMANCE EXTENDED CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "336-570-8458",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015735",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE CHOICE",
            "identifier": "39746",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805329",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00826",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416590",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415091",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE MEDICAR",
            "identifier": "7100024",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgewood Place at the Village at Brookwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.