Organization Active NPI

Brunswick Cove Living Center, LLC

  • Skilled Nursing Facility
  • Winnabow, NC
National Provider Identifier
1952446510
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0478 Issued in NC
Legal business name
BRUNSWICK COVE LIVING CENTER, LLC
Practice address
1478 River Rd SE
Winnabow, NC 28479-5821
Phone
(910) 371-9894
Fax
(910) 371-9609
NPI assigned
Feb 21, 2007
Last updated
Oct 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Mr. Hugh Blaine Campbell III
Title
Member
Phone
(919) 656-6735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0478 NC Primary

Addresses

Primary practice location

1478 River Rd SE
Winnabow, NC 28479-5821

Mailing address

1478 River Rd SE
Winnabow, NC 28479-5821
Phone (910) 371-9894

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081024000340 NC Part A Provider - Skilled Nursing Facility 1355409053 Practice locations: Winnabow, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952446510. Details of each certification follow.

Skilled nursing facility certification: CCN 345318

Legal name
BRUNSWICK COVE LIVING CENTER, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 10, 1990
Last certification
Jul 25, 2024
Beds
215 (175 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Hedgehog Healthcare Associates
Organization structure
LLCProprietary
Incorporated
Feb 19, 2007 in NC
Enrollment address
1478 River Road SE
Winnabow, NC 28479-5821
Nursing home name
BRUNSWICK COVE NURSING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Brunswick Cove Nursing CenterCCN 345318 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 10, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
175129.6 residents per day on average
Penalties (3 years)
9Fines totaling $70,913

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

201 N Front St
Ste 805
Wilmington, NC 28401

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Hugh S Campbell Individual 5% Or Greater Direct Ownership Interest Jul 1, 2007 50%
Operational/Managerial Control Jul 1, 2007 50%
Zachary B Miller Individual 5% Or Greater Direct Ownership Interest Jul 1, 2007 50%
Operational/Managerial Control Jul 1, 2007 50%

Practitioners & affiliated clinicians

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.

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1952446510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 RIVER RD SE",
            "city": "WINNABOW",
            "state": "NC",
            "postal_code": "284795821",
            "telephone_number": "910-371-9894",
            "fax_number": "910-371-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 RIVER RD SE",
            "city": "WINNABOW",
            "state": "NC",
            "postal_code": "284795821",
            "telephone_number": "910-371-9894",
            "fax_number": "910-371-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK COVE LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "BLAINE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "919-656-6735",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnabow, NC

Sources for this page

Verify at the official NPI Registry.