Senior Care Group LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0467 Issued in NC

Legal business name

SENIOR CARE GROUP LLC

Practice address

310 Pensacola Rd
Burnsville, NC 28714-3318

Phone

(828) 682-9759

Fax

(828) 682-9825

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Chris S Kmet

Title

Administrator

Phone

(828) 682-9759

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Brookside Rehabilitation & Care Doing business as

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871676015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 PENSACOLA RD",
            "address_2": "PO BOX 248",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287143318",
            "telephone_number": "828-682-9759",
            "fax_number": "828-682-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 PENSACOLA RD",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287143318",
            "telephone_number": "828-682-9759",
            "fax_number": "828-682-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KMET",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-682-9759",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415305",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416489",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookside Rehabilitation & Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Joanna Ruegg
• Kirstin James Rule, CNM
• Kendra Lee Rumback
• Bryan Schlecht, DPT
• Timothy James Seneker, M.D.
• Senior Care Group of Yancey LLC
• Salena Misako Short, DACM, LAC, LPN
• Vicky G Shuford, RN
• Aleisha Silvers, RN
• Tyra Lee Silvers, LPC

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