Active NPI
Brunswick Cove Living Center, LLC
- Skilled Nursing Facility
- Winnabow, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH0478
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 10, 1990
- Medicare certification status
- Active
- Certified beds
- 175
- Penalties (3 years)
- 9
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Hugh S Campbell | 5% Or Greater Direct Ownership Interest | Jul 1, 2007 | 50% |
| Operational/Managerial Control | Jul 1, 2007 | 50% | |
| Zachary B Miller | 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.
-
- Family Medicine Physician
- Asheville, NC
- NPI 1457347627
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
- Elizaberth Abernathy, OTR/L
- Helen Elizabeth Batts, M.A., CCC-SLP
- Sheri Ann Benya, RN
- Debra Beth Brigden, MSP, CCC-SLP
- Brunswick Cove Inc (Brunswick Cove Nursing Center)
- Cape Fear Imaging, LLC
- Christopher James Charland, RN
- CR Resource Center Inc.
- Creative Solutions Child & Family Counseling, LLC
- Caitlin Dalton, RD, IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.