Pelican Health Henderson LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PELICAN HEALTH HENDERSON LLC

Doing business as

Camellia Gardens Center for Nursing and Rehabilitation

Practice address

280 S Beckford Dr
Henderson, NC 27536-2564

Phone

(252) 438-6141

NPI assigned

May 10, 2019

Last updated

Jun 15, 2023By 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

Batya Gorelick

Title

VP of Administrative Services

Phone

(252) 438-6141

Specialties & licenses 2

Addresses

Other names 1

• Camellia Gardens Center for Nursing and Rehabilitation Doing business as

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trina Dugger Prather, M.D.

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1023048741
  NPD (past)

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1902462401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 SYLVAN AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S BECKFORD DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362564",
            "telephone_number": "252-438-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN HEALTH HENDERSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "GORELICK",
        "authorized_official_first_name": "BATYA",
        "authorized_official_title_or_position": "VP OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "252-438-6141"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camellia Gardens Center for Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latisha Darsha Patterson, PA-C
• Lee Patton, PA-C
• Victoria Mitchell Payne, M.D., M.S
• Peak Community Health, Inc
• Margaret Jean Peck, D.C.
• David Edward Peltier, D.O.
• Jill Holtzman Perkinson
• Kathryn Elizabeth Perkinson
• Leon Jackson Pernell Sr., LCAS
• Samantha Carole Pernell

• Skilled Nursing Facility in Henderson, NC
• Providers in Henderson, 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 Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.