Nursing Facility by County

Transcription

1 ALAMANCE Alamance Health Care Center Jonathan Caudill, Administrator 1987 Hilton Road Burlington, NC Lic No: NH0529 Provider: (336) Fax: (336) (SNF # 180)(ACH # 0) ALEXANDER Valley Nursing Center Sandra P Loftin, Administrator (828) NC Hwy. 16 South Fax: (828) Taylorsville, NC Lic No: NH0381 Provider: (SNF # 183)(ACH # 0) Edgewood Place at the Village at Brookwood Stephen P Swanson, Administrator (336) Brookwood Avenue Fax: (336) Burlington, NC Lic No: NH0596 Provider: (SNF # 105)(ACH # 24) Liberty Commons Nursing & Rehab Ctr of Alamance Cty Loie Leopardi, Administrator (336) Boone Station Drive Fax: (336) Burlington, NC Lic No: NH0588 Provider: (SNF # 90)(ACH # 48) Peak Resources-Alamance Inc Nelson S Lacy-Sellers, Administrator (336) Woody Drive Fax: (336) Graham, NC Lic No: NH0429 Provider: (SNF # 120)(ACH # 0) The Presbyterian Home of Hawfields Inc Max H Kernodle, Administrator (336) South NC 119 Fax: (336) Mebane, NC Lic No: NH0364 Provider: (SNF # 117)(ACH # 0) Twin Lakes Community Philip A Williams, Administrator (336) Wade Coble Drive Fax: (336) Burlington, NC Lic No: NH0351 Provider: (SNF # 100)(ACH # 4) Twin Lakes Community Memory Care Lauren D Cook, Administrator (336) Wade Coble Drive Fax: (336) Burlington, NC Lic No: NH0621 Provider: (SNF # 16)(ACH # 16) ALLEGHANY Alleghany Center Julie M Stafford, Administrator (336) Combs Street Fax: (336) Sparta, NC Lic No: NH0413 Provider: (SNF # 90)(ACH # 22) ANSON Ambassador Health & Rehab of Wadesboro LLC Richard L Ellickson, Administrator (704) Country Club Road Fax: (704) Wadesboro, NC Lic No: NH0090 Provider: (SNF # 66)(ACH # 53) Anson Health and Rehabilitation Gay L Lookabill, Administrator (704) S Greene Street Fax: (704) Wadesboro, NC Lic No: NH0642 Provider: (SNF # 95)(ACH # 0) ASHE Margate Health and Rehab Center Scott Davis, Administrator 540 Waugh Street; P O Box 909 Jefferson, NC Lic No: NH0459 Provider: (336) Fax: (336) (SNF # 210)(ACH # 0) AVERY Life Care Center of Banner Elk Sheree B Byrd, Administrator (828) P O Box 2199; 185 Norwood Hollow Road Fax: (828) Banner Elk, NC Lic No: NH0362 Provider: (SNF # 118)(ACH # 0) White Oak Manor-Burlington Nathan S Nesmith, Administrator 323 Baldwin Road Burlington, NC Lic No: NH0397 Provider: (336) Fax: (336) (SNF # 160)(ACH # 0) BEAUFORT Ridgewood Manor Michael L Kelly, Administrator (252) Highland Drive; P O Box 1868 Fax: (252) Washington, NC Lic No: NH0387 Provider: (SNF # 150)(ACH # 0) River Trace Nursing and Rehabilitation Center Jackie C Woolard, Administrator (252) Lovers Lane; P O Box 398 Fax: (252) Washington, NC Lic No: NH0345 Provider: (SNF # 140)(ACH # 10) report 'nhlistco' 1

2 BERTIE Brian Center Health & Rehabilitation/Windsor David M Plemons, Administrator (252) South King Street Fax: (252) Windsor, NC Lic No: NH0491 Provider: (SNF # 82)(ACH # 0) BUNCOMBE Asheville Health Care Center Anthony J Abela, Administrator 1984 US 70 Highway Swannanoa, NC Lic No: NH0528 Provider: (828) Fax: (828) (SNF # 106)(ACH # 0) Three Rivers Health and Rehab Lynne H Furlough, Administrator 1403 Conner Drive Windsor, NC Lic No: NH0522 Provider: (252) Fax: (252) (SNF # 60)(ACH # 20) Asheville Nursing & Rehabilitation Center Melissa R Yates, Administrator (828) Victoria Road Fax: (828) Asheville, NC Lic No: NH0233 Provider: (SNF # 120)(ACH # 0) BLADEN Elizabethtown Healthcare & Rehabilitation Center Lori Barrow, Administrator (910) PO Box 1449 Fax: (910) Elizabethtown, NC Lic No: NH0328 Provider: (SNF # 94)(ACH # 0) Poplar Heights Center L Bernard Bryant, Administrator 804 South Poplar Street Elizabethtown, NC Lic No: NH0420 Provider: BRUNSWICK Autumn Care of Shallotte Jacqueline H Ward, Administrator 237 Mulberry Street; P O Box 2307 Shallotte, NC Lic No: NH0456 Provider: Brunswick Cove Nursing Center Zachary B Miller, Administrator 1478 River Road Winnabow, NC Lic No: NH0478 Provider: (910) Fax: (910) (SNF # 90)(ACH # 30) (910) Fax: (910) (SNF # 130)(ACH # 10) (910) Fax: (910) (SNF # 175)(ACH # 40) Ocean Trail Healthcare & Rehabilitation Center Dennis V Reese, Administrator (910) Fodale Avenue; P O Box Fax: (910) Southport, NC Lic No: NH0322 Provider: (SNF # 99)(ACH # 17) Universal Health Care/Brunswick Rebecca L Reeves, Administrator (910) Old Ocean Highway Fax: (910) Bolivia, NC Lic No: NH0626 Provider: (SNF # 90)(ACH # 0) Aston Park Health Care Center Inc Marsha W Kaufman, Administrator (828) Brevard Road Fax: (828) Asheville, NC Lic No: NH0262 Provider: (SNF # 120)(ACH # 19) Brian Center Health & Rehabilitation/Weaverville Alisa H Bradford, Administrator (828) Weaver Boulevard Fax: (828) Weaverville, NC Lic No: NH0532 Provider: (SNF # 122)(ACH # 10) Brooks-Howell Home Nancy C Garrison, Administrator (828) Merrimon Avenue Fax: (828) Asheville, NC Lic No: NH0107 Provider: None (SNF # 58)(ACH # 0) Deerfield Episcopal Retirement Community Inc Brian King, Administrator (828) Hendersonville Road Fax: (828) Asheville, NC Lic No: NH0087 Provider: (SNF # 62)(ACH # 62) Emerald Ridge Rehabilitation and Care Center John E Quintier, Administrator (828) Reynolds Mountain Boulevard Fax: (828) Asheville, NC Lic No: NH0551 Provider: (SNF # 100)(ACH # 14) Flesher's Fairview Health Care Center Inc Cheryl T Mitchell, Administrator (828) Cane Creek Road; P O Drawer 1160 Fax: (828) Fairview, NC Lic No: NH0517 Provider: (SNF # 106)(ACH # 14) Givens Health Center Robin J Suddreth, Administrator (828) Sweeten Creek Road Fax: (828) Asheville, NC Lic No: NH0484 Provider: (SNF # 70)(ACH # 14) report 'nhlistco' 2

3 BUNCOMBE Golden LivingCenter-Asheville Herschel B Sedoris III, Administrator (828) Beaverdam Road Fax: (828) Asheville, NC Lic No: NH0321 Provider: (SNF # 77)(ACH # 0) BUNCOMBE Western North Carolina Baptist Home Christopher A Elmer, Administrator 213 Richmond Hill Drive Asheville, NC Lic No: NH0541 Provider: (828) Fax: (828) (SNF # 100)(ACH # 50) Highland Farms Kathy L Norman, Administrator (828) Tabernacle Road Fax: (828) Black Mountain, NC Lic No: NH0147 Provider: (SNF # 60)(ACH # 30) Mountain Ridge Health and Rehab Carla V Weaver, Administrator (828) Old US Hwy 70 E Fax: (828) Black Mountain, NC Lic No: NH0235 Provider: (SNF # 97)(ACH # 3) NC State Veterans Home-Black Mountain Kathryn C West, Administrator (828) Lake Eden Road Fax: (828) Black Mountain, NC Lic No: NH0631 Provider: (SNF # 100)(ACH # 0) Pisgah Manor Health Care Center Michelle Grandy, Administrator (828) Holcombe Cove Road Fax: (828) Candler, NC Lic No: NH0184 Provider: (SNF # 118)(ACH # 0) StoneCreek Health and Rehabilitation Clinton M Davis, Administrator (828) Victoria Road Fax: (828) Asheville, NC Lic No: NH0291 Provider: (SNF # 120)(ACH # 0) The Laurels of GreenTree Ridge Jessica Hauser, Administrator (828) Sweeten Creek Road Fax: (828) Asheville, NC Lic No: NH0463 Provider: (SNF # 98)(ACH # 2) The Laurels of Summit Ridge Judith W Boyer, Administrator (828) Riceville Road Fax: (828) Asheville, NC Lic No: NH0540 Provider: (SNF # 60)(ACH # 63) The Oaks at Sweeten Creek Ashley L Smithey, Administrator (828) Sweeten Creek Road Fax: (828) Arden, NC Lic No: NH0575 Provider: (SNF # 100)(ACH # 14) BURKE Autumn Care of Drexel Amanda S Carswell, Administrator 307 Oakland Avenue; P O Box 1278 Drexel, NC Lic No: NH0347 Provider: Carolina Rehab Center of Burke Sharon Whitlock, Administrator 3647 Miller Bridge Road Connelly Springs, NC Lic No: NH0610 Provider: College Pines Health and Rehab Center Jackie M Pittman, Administrator (828) P O Box 250 Fax: (828) Valdese, NC Lic No: NH0553 Provider: (SNF # 100)(ACH # 4) Grace Heights Health and Rehabilitation Center Deborah H Morgan, Administrator (828) Foothills Drive Fax: (828) Morganton, NC Lic No: NH0408 Provider: (SNF # 120)(ACH # 0) Grace Ridge Brenda Yost, Administrator (828) Lenoir Road Fax: (828) Morganton, NC Lic No: NH0476 Provider: none (SNF # 25)(ACH # 47) Magnolia Lane Nursing and Rehabilitation Center William K Thompson, Administrator 107 Magnolia Drive (828) Fax: (828) Morganton, NC Lic No: NH0343 Provider: (SNF # 121)(ACH # 0) CABARRUS Avante at Concord Cindy A Pittmon, Administrator 515 Lake Concord Road Concord, NC Lic No: NH0179 Provider: (828) Fax: (828) (SNF # 100)(ACH # 20) (828) Fax: (828) (SNF # 90)(ACH # 0) (704) Fax: (704) (SNF # 120)(ACH # 0) report 'nhlistco' 3

4 CABARRUS Brian Center Health & Retirement/Cabarrus Stewart R Reed, Administrator (704) Bishop Lane Fax: (704) Concord, NC Lic No: NH0498 Provider: (SNF # 90)(ACH # 0) CALDWELL Lenoir Healthcare Center Nancy B Greene, Administrator 322 Nuway Circle Lenoir, NC Lic No: NH0407 Provider: (828) Fax: (828) (SNF # 120)(ACH # 0) Five Oaks Manor John Wall, Administrator (704) Winecoff School Road Fax: (704) Concord, NC Lic No: NH0027 Provider: (SNF # 160)(ACH # 24) Shaire Nursing Center Michael J Haire, Administrator PO Box 668 Hudson, NC Lic No: NH0578 Provider: (828) Fax: (828) (SNF # 60)(ACH # 0) PruittHealth-Town Center Tammy A Hanna, Administrator (704) Roberta Road Fax: (704) Harrisburg, NC Lic No: NH0604 Provider: (SNF # 70)(ACH # 0) The Gardens of Taylor Glen Retirement Community Miriam S Stermer, Administrator (704) Taylor Glen Lane Fax: (704) Concord, NC Lic No: NH0607 Provider: (SNF # 24)(ACH # 24) Transitional Health Services of Kannapolis Wayne H Mayo, Administrator (704) Concord Lake Road Fax: (704) Kannapolis, NC Lic No: NH0453 Provider: (SNF # 107)(ACH # 5) Universal Health Care and Rehabilitation Center Kimberly S Mooneyham, Administrator (704) Brookwood Avenue, NE Fax: (704) Concord, NC Lic No: NH0247 Provider: (SNF # 120)(ACH # 0) CALDWELL Gateway Rehabilitation and Healthcare Joetta L Madsen, Administrator (828) Harper Avenue Northwest Fax: (828) Lenoir, NC Lic No: NH0485 Provider: (SNF # 100)(ACH # 18) Hickory Falls Health and Rehabilitation Jennifer L Robinson, Administrator (828) Sunset Street Fax: (828) Granite Falls, NC Lic No: NH0380 Provider: (SNF # 120)(ACH # 0) CARTERET Croatan Ridge Nursing and Rehabilitation Center Ashley Neenan, Administrator (252) Foxhall Rd. Fax: (252) Newport, NC Lic No: NH0583 Provider: (SNF # 64)(ACH # 0) Crystal Bluffs Rehabilitation and Health Care Center Jennifer Salter, Administrator (252) Bridges Street Extension Fax: (252) Morehead City, NC Lic No: NH0227 Provider: (SNF # 92)(ACH # 0) Harborview Health Care Center Chase A Flowers, Administrator 812 Shepard Street Morehead City, NC Lic No: NH0255 Provider: PruittHealth-SeaLevel Ashton W Bone, Administrator 468 Highway 70 East Sea Level, NC Lic No: NH0600 Provider: Snug Harbor on Nelson Bay Rose Tankard, Administrator 272 Highway 70; P O Box 150 Sea Level, NC Lic No: NH0202 Provider: (252) Fax: (252) (SNF # 122)(ACH # 0) (252) Fax: (252) (SNF # 104)(ACH # 0) (252) Fax: (252) (SNF # 42)(ACH # 50) CASWELL Brian Center Health & Rehabilitation/Yanceyville H Sue Rawls, Administrator (336) PO Box 1508 Fax: (336) Yanceyville, NC Lic No: NH0434 Provider: (SNF # 157)(ACH # 0) report 'nhlistco' 4

5 CATAWBA Abernethy Laurels Ashley N Sigmon, Administrator (828) Leonard Avenue Fax: (828) Newton, NC Lic No: NH0191 Provider: (SNF # 174)(ACH # 18) CHATHAM The Arbor Heidi S O'Neal, Administrator (919) Galloway Ridge Road Fax: (919) Pittsboro, NC Lic No: NH0619 Provider: (SNF # 40)(ACH # 51) Brian Center Health & Rehabilitation/Hickory East Susan Nelson, Administrator (828) Tate Boulevard, SE Fax: (828) Hickory, NC Lic No: NH0337 Provider: (SNF # 150)(ACH # 20) Brian Center Health and Rehabilitation Hickory/Viewmont Ashley J Rader, Administrator (828) th Ave. Place NW Fax: (828) Hickory, NC Lic No: NH0409 Provider: (SNF # 104)(ACH # 0) Conover Nursing and Rehabilitation Center Todd Roper, Administrator (828) P.O. Box 1718 Fax: (828) Conover, NC Lic No: NH0603 Provider: (SNF # 90)(ACH # 0) Trinity Ridge Tonya Hilliard, Administrator 2140 Medical Park Drive Hickory, NC Lic No: NH0162 Provider: Trinity Village Amber T McIntosh, Administrator st Street, NE Hickory, NC Lic No: NH0068 Provider: CHATHAM Carolina Meadows Health Center Adam T Melton, Administrator 500 Carolina Meadows Chapel Hill, NC Lic No: NH0490 Provider: None Siler City Center April L Mayberry, Administrator 900 West Dolphin Street; P O Box 789 Siler City, NC Lic No: NH0395 Provider: (828) Fax: (828) (SNF # 120)(ACH # 0) (828) Fax: (828) (SNF # 104)(ACH # 90) (919) Fax: (919) (SNF # 90)(ACH # 0) (919) Fax: (919) (SNF # 150)(ACH # 0) The Laurels of Chatham John R Jarrell, Administrator 72 Chatham Business Park (919) Fax: (919) Pittsboro, NC Lic No: NH0523 Provider: (SNF # 140)(ACH # 0) CHEROKEE Valley View Care and Rehabilitation Center Timothy F McEntire, Administrator 551 Kent Street Andrews, NC Lic No: NH0535 Provider: (828) Fax: (828) (SNF # 76)(ACH # 0) CHOWAN Chowan River Nursing and Rehabilitation Center Dianne C Nixon, Administrator 1341 Paradise Road; P O Box 566 (252) Fax: (252) Edenton, NC Lic No: NH0369 Provider: (SNF # 130)(ACH # 0) CLAY Clay County Care Center Scott D Alexander, Administrator 86 Valley Hideaway Drive Hayesville, NC Lic No: NH0542 Provider: CLEVELAND Cleveland Pines Charlotte F Young, Administrator 1404 North Lafayette Street Shelby, NC Lic No: NH0524 Provider: (828) Fax: (828) (SNF # 90)(ACH # 10) (980) Fax: (980) (SNF # 120)(ACH # 0) Peak Resources-Shelby Shonda Wingate, Administrator (704) North Morgan Street; P O Box 2287 Fax: (704) Shelby, NC Lic No: NH0405 Provider: (SNF # 100)(ACH # 0) White Oak Manor-Kings Mountain Crystal C Lombardo, Administrator (704) Sipes Street; P O Box 578 Fax: (704) Kings Mountain, NC Lic No: NH0396 Provider: (SNF # 154)(ACH # 0) report 'nhlistco' 5

6 CLEVELAND CRAVEN White Oak Manor-Shelby Riverpoint Crest Nursing and Rehabilitation Center Sonia A Crisp, Administrator (704) Paul Stockett, Administrator (252) North Morgan Street; P O Box 790 Fax: (704) P.O. Box 3397 Fax: (252) Shelby, NC New Bern, NC Lic No: NH0398 Provider: (SNF # 160)(ACH # 0) Lic No: NH0344 Provider: (SNF # 105)(ACH # 18) COLUMBUS Liberty Commons Nursing and Rehab Ctr of Columbus Cty Alicia Jordan-Greene, Administrator (910) Pinckney Street Fax: (910) Whiteville, NC Lic No: NH0283 Provider: (SNF # 107)(ACH # 40) CUMBERLAND Autumn Care of Fayetteville James V Caligiuri, Administrator PO Box Fayetteville, NC Lic No: NH0629 Provider: (910) Fax: (910) (SNF # 90)(ACH # 0) Premier Living and Rehab Center Linda B Parnell, Administrator 106 Cameron Street Lake Waccamaw, NC Lic No: NH0246 Provider: (910) Fax: (919) (SNF # 127)(ACH # 15) Bethesda Health Care Facility Caroline Horne, Administrator 3532 Dunn Road Eastover, NC Lic No: NH0254 Provider: (910) Fax: (910) (SNF # 85)(ACH # 0) Shoreland Health Care and Retirement Center Inc Joseph M Hooks III, Administrator (910) Flowers-Pridgen Drive Fax: (910) Whiteville, NC Lic No: NH0510 Provider: (SNF # 89)(ACH # 10) CRAVEN Bayview Nursing & Rehabilitation Center Betty A Barnett, Administrator (252) Kensington Park Drive Fax: (252) New Bern, NC Lic No: NH0567 Provider: (SNF # 60)(ACH # 12) Cherry Point Bay Nursing and Rehabilitation Center Courtney Collier, Administrator (252) McCotter Blvd. Fax: (252) Havelock, NC Lic No: NH0579 Provider: (SNF # 70)(ACH # 0) PruittHealth-Neuse Justin Dixon, Administrator 1303 Health Drive New Bern, NC Lic No: NH0496 Provider: PruittHealth-Trent Wendy M Stroud, Administrator 836 Hospital Drive New Bern, NC Lic No: NH0311 Provider: (252) Fax: (381) (SNF # 110)(ACH # 0) (252) Fax: (252) (SNF # 116)(ACH # 0) Carolina Rehab Center of Cumberland Elizabeth C Englund, Administrator (910) Cumberland Road Fax: (910) Fayetteville, NC Lic No: NH0593 Provider: (SNF # 136)(ACH # 0) Cumberland Nursing and Rehabilitation Center James L Souter IV, Administrator (910) Legion Road Fax: (910) Fayetteville, NC Lic No: NH0501 Provider: (SNF # 120)(ACH # 0) Golden Years Nursing Home Melissa Godwin, Administrator (910) PO BOX 40 Fax: (910) Falcon, NC Lic No: NH0076 Provider: (SNF # 58)(ACH # 0) Haymount Rehabilitation & Nursing Center Inc Cheryl N Geddie, Administrator (910) Barrington Circle Fax: (910) Fayetteville, NC Lic No: NH0454 Provider: (SNF # 98)(ACH # 22) Highland House Rehabilitation and Healthcare Lisa R Burkhart, Administrator (910) P O Box Fax: (910) Fayetteville, NC Lic No: NH0117 Provider: (SNF # 106)(ACH # 53) report 'nhlistco' 6

7 CUMBERLAND NC State Veterans Home-Fayetteville Whitney R Bell, Administrator (910) Cochran Avenue Fax: (910) Fayetteville, NC Lic No: NH0585 Provider: (SNF # 150)(ACH # 0) DAVIDSON Avante at Thomasville Van Bergstrom, Administrator (336) Blair Street Fax: (336) Thomasville, NC Lic No: NH0292 Provider: (SNF # 120)(ACH # 0) The Rehabilitation and Health Care Ctr at Village Green Roger J Ciokan, Administrator (910) Purdue Drive Fax: (910) Fayetteville, NC Lic No: NH0502 Provider: (SNF # 170)(ACH # 0) Whispering Pines Nursing & Rehabilitation Center Michelle H Fontaine, Administrator (910) Country Club Drive Fax: (910) Fayetteville, NC Lic No: NH0001 Provider: (SNF # 86)(ACH # 2) Woodlands Nursing & Rehabilitation Center Annette P Webster, Administrator 44 McNeill's Plaza Whiteville, NC Lic No: NH0577 Provider: (910) Fax: (910) (SNF # 80)(ACH # 20) Brian Center Nursing Care/Lexington James R Detter, Administrator (336) Brian Center Lane Fax: (336) Lexington, NC Lic No: NH0010 Provider: (SNF # 106)(ACH # 0) Lexington Health Care Center Kevin Walsh, Administrator (336) Cornelia Drive Fax: (336) Lexington, NC Lic No: NH0527 Provider: (SNF # 90)(ACH # 10) Mountain Vista Health Park Priscilla A Vint, Administrator (336) Post Office Box 1547 Fax: (336) Denton, NC Lic No: NH0259 Provider: (SNF # 60)(ACH # 60) CURRITUCK Sentara Nursing Center-Currituck Rhonda S Rouse, Administrator 3907 Caratoke Hwy; P O Box 119 Barco, NC Lic No: NH0445 Provider: DARE Peak Resources-Outer Banks Brian Hill, Administrator 430 West Health Center Drive Nags Head, NC Lic No: NH0372 Provider: DAVIDSON Abbotts Creek Center Russell T Reid, Administrator 877 Hill Everhart Rd. Lexington, NC Lic No: NH0099 Provider: Alston Brook Jeffery L Lowman, Administrator 4748 Old Salisbury Rd. Lexington, NC Lic No: NH0094 Provider: (252) Fax: (252) (SNF # 100)(ACH # 0) (252) Fax: (252) (SNF # 126)(ACH # 18) (336) Fax: (336) (SNF # 64)(ACH # 0) (336) Fax: (336) (SNF # 100)(ACH # 0) Piedmont Crossing Douglas P Russell, Administrator (336) Hedrick Drive Fax: (336) Thomasville, NC Lic No: NH0390 Provider: (SNF # 114)(ACH # 20) Pine Ridge Health and Rehabilitation Center JoAnn L Gibbs, Administrator (336) Pineywood Road Fax: (336) Thomasville, NC Lic No: NH0187 Provider: (SNF # 140)(ACH # 14) DAVIE Autumn Care of Mocksville Darin Asbill, Administrator (336) Howard Street Fax: (336) Mocksville, NC Lic No: NH0221 Provider: (SNF # 96)(ACH # 12) Bermuda Commons Nursing and Rehabilitation Center Jessica Proctor-Mccollum, Administrator (336) NC Hwy. 801 South Fax: (336) Advance, NC Lic No: NH0560 Provider: (SNF # 117)(ACH # 10) report 'nhlistco' 7

8 DAVIE Bermuda Village Retirement Center Don G Angell Jr, Administrator (336) Bermuda Village Drive Fax: (336) Bermuda Run, NC Lic No: NH0519 Provider: (SNF # 15)(ACH # 21) DURHAM Hillcrest Convalescent Center Inc Thomas Smith, Administrator (919) West Pettigrew Street Fax: (919) Durham, NC Lic No: NH0038 Provider: (SNF # 120)(ACH # 34) DUPLIN Brian Center Health & Rehabilitation/Wallace Lisa Scheu, Administrator (910) South Railroad Street Fax: (910) Wallace, NC Lic No: NH0481 Provider: (SNF # 80)(ACH # 0) Kenansville Health & Rehabiiltation Center Cheryl A Smith, Administrator (910) Beasley Street Fax: (910) Kenansville, NC Lic No: NH0308 Provider: (SNF # 92)(ACH # 0) Warsaw Health & Rehabilitation Center Ingrid L Houston, Administrator (910) Lanefield Road Fax: (910) Warsaw, NC Lic No: NH0418 Provider: (SNF # 100)(ACH # 0) DURHAM Brian Center Health and Rehabilitation/Durham Donald B Joseph, Administrator (919) Fayetteville Road Fax: (919) Durham, NC Lic No: NH0514 Provider: (SNF # 140)(ACH # 0) Carver Living Center Heather McLamb, Administrator (919) East Carver Street Fax: (919) Durham, NC Lic No: NH0543 Provider: (SNF # 232)(ACH # 20) Croasdaile Village Angela M Wynne, Administrator (919) Croasdaile Farm Parkway Fax: (919) Durham, NC Lic No: NH0587 Provider: (SNF # 110)(ACH # 0) Durham Nursing & Rehabilitation Center Michelle T Baldwin, Administrator (919) South Lasalle Street Fax: (919) Durham, NC Lic No: NH0136 Provider: (SNF # 126)(ACH # 0) Kindred Transitional Care and Rehab-Rose Manor Fred Collins, Administrator 4230 North Roxboro Road (919) Fax: (919) Durham, NC Lic No: NH0152 Provider: (SNF # 111)(ACH # 0) Peak Resources-Treyburn Teresa Ralph, Administrator 2059 Torredge Road Durham, NC Lic No: NH0562 Provider: Pettigrew Rehabilitation Center Michael McMorris Jr, Administrator 1515 West Pettigrew Street Durham, NC Lic No: NH0119 Provider: PruittHealth-Durham Laurence Celeste, Administrator 3100 Erwin Road Durham, NC Lic No: NH0412 Provider: The Cedars of Chapel Hill Sara S Flynn-Loy, Administrator 100 Cedar Club Circle Chapel Hill, NC Lic No: NH0615 Provider: The Forest at Duke Leslie C Jarema, Administrator 2701 Pickett Road Durham, NC Lic No: NH0536 Provider: (919) Fax: (919) (SNF # 132)(ACH # 0) (919) Fax: (919) (SNF # 96)(ACH # 0) (919) Fax: (919) (SNF # 125)(ACH # 0) (919) Fax: (919) (SNF # 44)(ACH # 4) (919) Fax: (919) (SNF # 58)(ACH # 34) EDGECOMBE Golden LivingCenter-Tarboro Effie E Webb, Administrator (252) Western Boulevard Fax: (252) Tarboro, NC Lic No: NH0288 Provider: (SNF # 159)(ACH # 0) report 'nhlistco' 8

9 EDGECOMBE Prodigy Transitional Rehab Robert Vernon, Administrator P.O. Box 400 Tarboro, NC Lic No: NH0327 Provider: (252) Fax: (252) (SNF # 118)(ACH # 0) FORSYTH Piney Grove Nursing and Rehabilitation Center Kristi S Baker, Administrator (336) Piney Grove Road Fax: (336) Kernersville, NC Lic No: NH0256 Provider: (SNF # 92)(ACH # 0) The Fountains at The Albemarle Diane S Barlow, Administrator 200 Trade Street Tarboro, NC Lic No: NH0352 Provider: (252) Fax: (252) (SNF # 30)(ACH # 56) PruittHealth-High Point Mandy P Acevedo, Administrator (336) North Main Street Fax: (336) High Point, NC Lic No: NH0021 Provider: (SNF # 100)(ACH # 0) FORSYTH Arbor Acres United Methodist Retirement Community Inc Kathy Gwyn, Administrator (336) Arbor Road Fax: (336) Winston Salem, NC Lic No: NH0378 Provider: None (SNF # 63)(ACH # 102) Brian Center Health & Retirement/Winston Salem Garrett R Keener, Administrator (336) Brian Center Lane Fax: (336) Winston-Salem, NC Lic No: NH0266 Provider: (SNF # 40)(ACH # 40) Brookridge Retirement Community William E Wood, Administrator (336) Hayes Forest Drive Fax: (336) Winston Salem, NC Lic No: NH0067 Provider: (SNF # 77)(ACH # 36) Homestead Hills Raymond E Cooper III, Administrator (336) Homestead Hills Drive Fax: (336) Winston Salem, NC Lic No: NH0633 Provider: (SNF # 40)(ACH # 0) Liberty Commons Nsg & Rehab Ctr of Springwood John Sexton, Administrator (336) Shattalon Drive Fax: (336) Winston Salem, NC Lic No: NH0423 Provider: (SNF # 200)(ACH # 0) Oak Forest Health and Rehabilitation Kevin V Tuttle, Administrator (336) Windy Hill Drive Fax: (336) Winston Salem, NC Lic No: NH0548 Provider: (SNF # 170)(ACH # 0) Regency Care of Clemmons Joyce C Denham, Administrator (336) PO Box 249, 3905 Clemmons Road Fax: (336) Clemmons, NC Lic No: NH0404 Provider: (SNF # 120)(ACH # 0) Salemtowne James T Matthews II, Administrator (336) Salemtowne Drive Fax: (336) Winston Salem, NC Lic No: NH0154 Provider: (SNF # 84)(ACH # 46) Silas Creek Rehabilitation Center Jason R Lindsey, Administrator (336) Silas Creek Parkway Fax: (336) Winston Salem, NC Lic No: NH0203 Provider: (SNF # 90)(ACH # 0) The Oaks Susan Hollett, Administrator (336) Bethesda Road Fax: (336) Winston Salem, NC Lic No: NH0439 Provider: (SNF # 151)(ACH # 0) Trinity Elms Mary B Coughenour, Administrator (336) Fair Oaks Drive Fax: (336) Clemmons, NC Lic No: NH0641 Provider: (SNF # 100)(ACH # 0) Trinity Glen Cynthia McCoy, Administrator (336) Waterworks Road Fax: (336) Winston-Salem, NC Lic No: NH0058 Provider: (SNF # 117)(ACH # 0) Winston Salem Nursing & Rehabilitation Center Veronica M Wagner, Administrator (336) West First Street Fax: (336) Winston Salem, NC Lic No: NH0125 Provider: (SNF # 230)(ACH # 0) report 'nhlistco' 9

10 FRANKLIN Franklin Oaks Nursing and Rehabilitation Center Lynn Bullock, Administrator (919) NC Highway 39 North Fax: (919) Louisburg, NC Lic No: NH0486 Provider: (SNF # 166)(ACH # 10) GASTON Gastonia Care and Rehabilitation Tanya Rocquemore, Administrator 416 North Highland Street Gastonia, NC Lic No: NH0305 Provider: (704) Fax: (704) (SNF # 118)(ACH # 0) Louisburg Healthcare & Rehabilitation Center Cheryl Vermilyea, Administrator (919) Smoketree Way; P O Box 629 Fax: (919) Louisburg, NC Lic No: NH0264 Provider: (SNF # 92)(ACH # 0) MeadowWood Nursing Center Kimberly Long, Administrator 4414 Wilkinson Boulevard Gastonia, NC Lic No: NH0468 Provider: (704) Fax: (704) (SNF # 50)(ACH # 0) GASTON Alexandria Place Cathy LL Almon, Administrator 1770 Oak Hollow Road Gastonia, NC Lic No: NH0547 Provider: Belaire Health Care Center Aaron Loney, Administrator 2065 Lyon Street Gastonia, NC Lic No: NH0561 Provider: Brian Center Health and Rehabilitation/Gastonia Kimberly K Poovey, Administrator (704) Cox Road Fax: (704) Gastonia, NC Lic No: NH0228 Provider: (SNF # 162)(ACH # 0) Carolina Care Center Judy B Beam, Administrator 111 Harrilson Road Cherryville, NC Lic No: NH0287 Provider: (704) Fax: (704) (SNF # 60)(ACH # 40) (704) Fax: (704) (SNF # 80)(ACH # 0) (704) Fax: (704) (SNF # 107)(ACH # 12) Peak Resources-Cherryville Cheryl Mikell, Administrator 7615 Dallas Cherryville Highway Cherryville, NC Lic No: NH0403 Provider: Peak Resources-Gastonia Lydia R Alexander, Administrator 2780 X-Ray Drive Gastonia, NC Lic No: NH0402 Provider: Stanley Total Living Center Inc Jennifer Defelice, Administrator P.O. Box 489 Stanley, NC Lic No: NH0386 Provider: (704) Fax: (704) (SNF # 54)(ACH # 57) (704) Fax: (704) (SNF # 120)(ACH # 0) (704) Fax: (704) (SNF # 106)(ACH # 24) GATES Down East Health and Rehabilitation Center Pamela Harvey, Administrator (252) Carters Road Fax: (252) Gatesville, NC Lic No: NH0513 Provider: (SNF # 70)(ACH # 10) Courtland Terrace Dennis R Carver, Administrator 2300 Aberdeen Boulevard Gastonia, NC Lic No: NH0494 Provider: Covenant Village Inc Thomas P Hauer, Administrator 1351 Robinwood Road Gastonia, NC Lic No: NH0332 Provider: None (704) Fax: (704) (SNF # 77)(ACH # 19) (704) Fax: (704) (SNF # 38)(ACH # 42) GRAHAM Graham Healthcare and Rehabilitation Center Donna O Stephens, Administrator (828) Snowbird Road; P O Box 1147 Fax: (828) Robbinsville, NC Lic No: NH0495 Provider: (SNF # 80)(ACH # 23) GRANVILLE Universal Health Care/Oxford Charles E Sharpe, Administrator (919) Prospect Avenue Fax: (919) Oxford, NC Lic No: NH0447 Provider: (SNF # 160)(ACH # 20) report 'nhlistco' 10

11 GREENE Greendale Forest Nursing and Rehabilitation Center Charles F Hall Jr, Administrator (252) South East Second Street Fax: (252) Snow Hill, NC Lic No: NH0373 Provider: (SNF # 115)(ACH # 17) GUILFORD Friends Homes at Guilford Tim Jackson, Administrator 925 New Garden Rd. Greensboro, NC Lic No: NH0190 Provider: (336) Fax: (336) (SNF # 69)(ACH # 60) GUILFORD Adams Farm Living & Rehabilitation Patricia C Anderson, Administrator (336) Mackay Road Fax: (336) Jamestown, NC Lic No: NH0581 Provider: (SNF # 120)(ACH # 0) Ashton Place Health & Rehab Howard Staples, Administrator 5533 Burlington Road Mcleansville, NC Lic No: NH0625 Provider: Blumenthal Nursing & Rehabilitation Center Karen A Fowler, Administrator (336) Wireless Drive Fax: (336) Greensboro, NC Lic No: NH0135 Provider: (SNF # 134)(ACH # 20) Camden Place Health & Rehab LLC Kelli A Moody, Administrator 1 Marithe Ct. Greensboro, NC Lic No: NH0624 Provider: Clapps Nursing Center Inc Cheryl Clapp-Coleman, Administrator 5229 Appomatox Rd. Pleasant Garden, NC Lic No: NH0017 Provider: Countryside Manor Inc Ruth W Finch, Administrator P O Box 829 Stokesdale, NC Lic No: NH0226 Provider: Friends Homes West Donna B Sprinkle, Administrator 6100 West Friendly Avenue Greensboro, NC Lic No: NH0554 Provider: (336) Fax: (336) (SNF # 134)(ACH # 0) (336) Fax: (336) (SNF # 135)(ACH # 0) (336) Fax: (336) (SNF # 118)(ACH # 0) (336) Fax: (336) (SNF # 60)(ACH # 16) (336) Fax: (336) (SNF # 40)(ACH # 40) Golden LivingCenter-Greensboro Gina M Markwell, Administrator 1201 Carolina Street Greensboro, NC Lic No: NH0275 Provider: Golden LivingCenter-Starmount Mary E Gunter, Administrator 109 South Holden Road Greensboro, NC Lic No: NH0274 Provider: Greenhaven Health and Rehabilitation Center Sharon Huneycutt, Administrator (336) Greenhaven Drive Fax: (336) Greensboro, NC Lic No: NH0368 Provider: (SNF # 120)(ACH # 0) Guilford Health Care Center Lynn A Lancaster, Administrator 2041 Willow Road Greensboro, NC Lic No: NH0564 Provider: Heartland Living & The Moses H Cone Mem Hosp Sherri Ingram-Bass, Administrator (336) North Church Street Fax: (336) Greensboro, NC Lic No: NH0601 Provider: (SNF # 107)(ACH # 37) Maple Grove Health and Rehabilitation Center Ivy D Pearson, Administrator (336) West Meadowview Road Fax: (336) Greensboro, NC Lic No: NH0552 Provider: (SNF # 210)(ACH # 40) Maryfield Nursing Home Vonda H Hollingsworth, Administrator 109 Penny Road High Point, NC Lic No: NH0005 Provider: Meridian Center Alyce E Hopping, Administrator 707 North Elm Street High Point, NC Lic No: NH0389 Provider: (336) Fax: (336) (SNF # 105)(ACH # 0) (336) Fax: (336) (SNF # 126)(ACH # 0) (336) Fax: (336) (SNF # 110)(ACH # 0) (336) Fax: (336) (SNF # 125)(ACH # 36) (336) Fax: (336) (SNF # 199)(ACH # 0) report 'nhlistco' 11

12 GUILFORD River Landing at Sandy Ridge Tiffany D Roberson, Administrator (336) John Knox Drive Fax: (336) Colfax, NC Lic No: NH0612 Provider: (SNF # 60)(ACH # 56) HALIFAX Signature HealthCARE of Roanoke Rapids Alicia Barnes, Administrator (252) Fourteenth Street Fax: (252) Roanoke Rapids, NC Lic No: NH0312 Provider: (SNF # 108)(ACH # 0) The Shannon Gray Rehabilitation & Recovery Center Christopher D Dunn, Administrator (336) Shannon Gray Court Fax: (336) Jamestown, NC Lic No: NH0627 Provider: (SNF # 150)(ACH # 0) Well-Spring Misti Byler, Administrator (336) Wildflower Drive Fax: (336) Greensboro, NC Lic No: NH0546 Provider: None (SNF # 60)(ACH # 72) Westchester Manor at Providence Place James A Newman, Administrator (336) Westchester Drive Fax: (336) High Point, NC Lic No: NH0155 Provider: (SNF # 129)(ACH # 0) WhiteStone: A Masonic and Eastern Star Community Dianne Armstrong, Administrator (336) South Holden Road Fax: (336) Greensboro, NC Lic No: NH0141 Provider: (SNF # 88)(ACH # 12) HALIFAX Enfield Oaks Nursing and Rehabilitation Center Brandi W Lassister, Administrator (252) Cary Street Fax: (252) Enfield, NC Lic No: NH0037 Provider: (SNF # 63)(ACH # 0) Liberty Commons Nsg and Rehab Ctr of Halifax County Dain H Simpson, Administrator (252) Caroline Avenue Fax: (252) Weldon, NC Lic No: NH0469 Provider: (SNF # 50)(ACH # 25) Scotland Manor Health Care Center Kimberly A Stallings, Administrator (252) Junior High School Road Fax: (252) Scotland Neck, NC Lic No: NH0314 Provider: (SNF # 62)(ACH # 0) HARNETT Cornerstone Nursing and Rehabilitation Center Alan D Wrench, Administrator (910) PO Box 948 Fax: (910) Dunn, NC Lic No: NH0482 Provider: (SNF # 100)(ACH # 8) Emerald Health & Rehab Center Brian D Joiner, Administrator (910) Red Mulberry Way Fax: (910) Lillington, NC Lic No: NH0144 Provider: (SNF # 96)(ACH # 0) Harnett Woods Nursing and Rehabilitation Center Ida Trogdon, Administrator (910) PO Box 1597 Fax: (910) Dunn, NC Lic No: NH0576 Provider: (SNF # 100)(ACH # 0) Universal Health Care Lillington Felton B Wooten, Administrator (910) E Cornelius Harnett Blvd Fax: (910) Lillington, NC Lic No: NH0444 Provider: (SNF # 129)(ACH # HAYWOOD Autumn Care of Waynesville David G Woodlief, Administrator (828) P.O. Box 330 Fax: (828) Waynesville, NC Lic No: NH0366 Provider: (SNF # 90)(ACH # 10) Brian Center Health and Rehabilitation/Waynesville Jerry G Horne, Administrator (828) Wall Street Fax: (828) Waynesville, NC Lic No: NH0520 Provider: (SNF # 90)(ACH # 5) Maggie Valley Nursing and Rehabilitation Brenda K Silvers, Administrator (828) Fisher Loop Fax: (828) Maggie Valley, NC Lic No: NH0081 Provider: (SNF # 114)(ACH # 0) report 'nhlistco' 12

13 HAYWOOD Silver Bluff LLC Bob Leatherwood, Administrator (828) Silver Bluff Drive Fax: (828) Canton, NC Lic No: NH0458 Provider: (SNF # 131)(ACH # 13) HENDERSON The Laurels of Hendersonville George M Rallis, Administrator 290 Clear Creek Road Hendersonville, NC Lic No: NH0480 Provider: (828) Fax: (828) (SNF # 100)(ACH # 20) Smoky Mountain Health and Rehabilitation Center William E Grinwis, Administrator (828) Crabtree Road Fax: (828) Waynesville, NC Lic No: NH0342 Provider: (SNF # 50)(ACH # 0) The Lodge at Mills River Michael J Salomone, Administrator 5593 Old Haywood Road Mills River, NC Lic No: NH0394 Provider: (828) Fax: (828) (SNF # 50)(ACH # 0) HENDERSON Brian Center Health & Rehabilitation/Hendersonville Luther E Reeves, Administrator (828) Pisgah Drive Fax: (828) Hendersonville, NC Lic No: NH0470 Provider: (SNF # 120)(ACH # 0) Carolina Village Inc Jon Renegar, Administrator 600 Carolina Village Road Suite Z Hendersonville, NC Lic No: NH0174 Provider: Golden LivingCenter-Hendersonville Cathy Phillips, Administrator 1510 Hebron Street Hendersonville, NC Lic No: NH0273 Provider: Hendersonville Health and Rehabilitation Paul L Shogren, Administrator 104 College Drive Flat Rock, NC Lic No: NH0586 Provider: Life Care Center of Hendersonville Thomas Hager, Administrator 400 Thompson Street Hendersonville, NC Lic No: NH0565 Provider: Mountain Home Health and Rehab Melissa Pate, Administrator 200 Heritage Way Hendersonville, NC Lic No: NH0382 Provider: (828) Fax: (828) (SNF # 58)(ACH # 0) (828) Fax: (828) (SNF # 150)(ACH # 0) (828) Fax: (828) (SNF # 130)(ACH # 0) (828) Fax: (828) (SNF # 80)(ACH # 0) (828) Fax: (828) (SNF # 134)(ACH # 0) Universal Health Care/Fletcher Susan H Robinson, Administrator 86 Old Airport Road Fletcher, NC Lic No: NH0608 Provider: (828) Fax: (828) (SNF # 90)(ACH # 0) HERTFORD Creekside Care & Rehabilitation Center Alan J Finlayson, Administrator (252) Stokes Street East; 604 Stokes St. East Fax: (252) Ahoskie, NC Lic No: NH0299 Provider: (SNF # 151)(ACH # 0) HOKE Autumn Care of Raeford Steven P Haggerty, Administrator P O Box 10 Raeford, NC Lic No: NH0438 Provider: HYDE Cross Creek Health Care Geraldine Weatherly, Administrator 1719 Quarter Road Swan Quarter, NC Lic No: NH0515 Provider: (910) Fax: (910) (SNF # 132)(ACH # 8) (252) Fax: (252) (SNF # 80)(ACH # 0) IREDELL Autumn Care of Statesville Kimberly H Boyd, Administrator (704) VanHaven Drive Fax: (704) Statesville, NC Lic No: NH0599 Provider: (SNF # 103)(ACH # 10) Brian Center Health & Rehabilitation/Statesville J Drew Richard, Administrator (704) Valley Street Fax: (704) Statesville, NC Lic No: NH0176 Provider: (SNF # 147)(ACH # 0) report 'nhlistco' 13

14 IREDELL Brian Center Health & Retirement/Mooresville Carol A McClure, Administrator (704) East Center Avenue Fax: (704) Mooresville, NC Lic No: NH0238 Provider: (SNF # 131)(ACH # 0) JOHNSTON Smithfield Manor Nursing and Rehab Nathan C Arnn, Administrator (919) PO Box 1940; P O Box 1940 Fax: (919) Smithfield, NC Lic No: NH0182 Provider: (SNF # 160)(ACH # 20) Maple Leaf Health Care Jennifer K Simon, Administrator 1101 Maple Care Lane Statesville, NC Lic No: NH0488 Provider: (704) Fax: (704) (SNF # 94)(ACH # 8) Springbrook Nursing and Rehabilitation Center Janice B Pearce, Administrator (919) Springbrook Avenue Fax: (919) Clayton, NC Lic No: NH0646 Provider: (SNF # 100)(ACH # 0) Mooresville Center Mary Ann Fisher, Administrator 550 Glenwood Drive Mooresville, NC Lic No: NH0435 Provider: JACKSON Blue Ridge on the Mountain Timothy D Jenkins, Administrator 417 Mountain Trace Road Sylva, NC Lic No: NH0623 Provider: Skyland Care Center Mistie Cooley, Administrator 193 Asheville Hwy. Sylva, NC Lic No: NH0168 Provider: (704) Fax: (704) (SNF # 130)(ACH # 30) (828) Fax: (828) (SNF # 106)(ACH # 0) (828) Fax: (828) (SNF # 94)(ACH # 0) JOHNSTON Barbour Court Nursing and Rehabilitation Center Moses K Muhairwe, Administrator (919) Barbour Road; P O Box 2390 Fax: (919) Smithfield, NC Lic No: NH0371 Provider: (SNF # 165)(ACH # 0) Brian Center Health & Retirement/Clayton Janet L Hogue, Administrator (919) Dairy Road Fax: (919) Clayton, NC Lic No: NH0475 Provider: (SNF # 90)(ACH # 0) Liberty Commons Nsg and Rehab Ctr of Johnston Cty Jennifer LaMar, Administrator (919) Highway 242 North Fax: (919) Benson, NC Lic No: NH0606 Provider: (SNF # 100)(ACH # 60) JONES Brook Stone Living Center Judy O'Quinn, Administrator (252) Highway 17 South; P O Box 429 Fax: (252) Pollocksville, NC Lic No: NH0508 Provider: (SNF # 80)(ACH # 20) LEE Liberty Commons Nsg and Rehab Ctr of Lee County LLC Mark Chandross, Administrator (919) Commerce Drive Fax: (919) Sanford, NC Lic No: NH0613 Provider: (SNF # 80)(ACH # 0) Sanford Health & Rehabilitation Co Joshua C Threatt, Administrator (919) Farrell Road Fax: (919) Sanford, NC Lic No: NH0286 Provider: (SNF # 131)(ACH # 0) Westfield Rehabilitation and Health Center Linda Andrews, Administrator (919) Tramway Road Fax: (919) Sanford, NC Lic No: NH0285 Provider: (SNF # 83)(ACH # 0) LENOIR Harmony Hall Nursing and Rehabilitation Center Dean C Picot, Administrator (252) P O Box 3527 Fax: (252) Kinston, NC Lic No: NH0355 Provider: (SNF # 175)(ACH # 0) NC State Veterans Nursing Home-Kinston Sara H Deiter, Administrator (252) Hull Road Fax: (252) Kinston, NC Lic No: NH0634 Provider: (SNF # 100)(ACH # 0) report 'nhlistco' 14

15 LENOIR Signature HealthCARE of Kinston Ken F Speller, Administrator (252) Cunningham Road Fax: (252) Kinston, NC Lic No: NH0309 Provider: (SNF # 106)(ACH # 0) MARTIN Roanoke River Nursing and Rehabilitation Center (252) Gatling Street Fax: (252) Williamston, NC Lic No: NH0270 Provider: (SNF # 154)(ACH # 0) LINCOLN Brian Center Health & Retirement/Lincolnton Judy Smith, Administrator (704) P.O. Box 249 Fax: (704) Lincolnton, NC Lic No: NH0385 Provider: (SNF # 117)(ACH # 11) Cardinal Healthcare and Rehabilitation Center Todd A Klingbiel, Administrator (704) North Aspen Street Fax: (704) Lincolnton, NC Lic No: NH0504 Provider: (SNF # 63)(ACH # 20) MCDOWELL Autumn Care of Marion Ashton Brown, Administrator PO Box 339 Marion, NC Lic No: NH0346 Provider: Deer Park Health & Rehabilitation Teresa L Karr, Administrator 306 Deer Park Rd. Nebo, NC Lic No: NH0326 Provider: (828) Fax: (828) (SNF # 110)(ACH # 15) (828) Fax: (828) (SNF # 140)(ACH # 0) Lincolnton Rehabilitation Center Allen Phillips, Administrator (704) East Gaston Street Fax: (704) Lincolnton, NC Lic No: NH0406 Provider: (SNF # 120)(ACH # 0) MACON Eckerd Living Center Ava C Emory, Administrator (828) PO BOX 190 Fax: (828) Highlands, NC Lic No: NH0647 Provider: (SNF # 80)(ACH # 0) Macon Valley Nursing and Rehabilitation Center Richard J Brady, Administrator (828) Old Murphy Road Fax: (828) Franklin, NC Lic No: NH0417 Provider: (SNF # 200)(ACH # 0) MECKLENBURG Asbury Care Center Amanda M Teugeman, Administrator 3800 Shamrock Drive Charlotte, NC Lic No: NH0573 Provider: Autumn Care of Cornelius Joshua G Wood, Administrator Mount Zion Parkway Cornelius, NC Lic No: NH0643 Provider: Avante at Charlotte Lance J Johs, Administrator 4801 Randolph Road Charlotte, NC Lic No: NH0267 Provider: (704) Fax: (704) (SNF # 100)(ACH # 5) (704) Fax: (704) (SNF # 102)(ACH # 0) (704) Fax: (704) (SNF # 100)(ACH # 0) MADISON Elderberry Health Care Karen S Cutshall, Administrator 415 Elderberry Lane Marshall, NC Lic No: NH0479 Provider: Madison Health and Rehabilitation Debra A Giezentanner, Administrator 345 Manor Road Mars Hill, NC Lic No: NH0290 Provider: (828) Fax: (828) (SNF # 80)(ACH # 20) (828) Fax: (828) (SNF # 100)(ACH # 0) Brian Center Health and Rehabilitation/Charlotte Maher Chaik Oughli, Administrator (704) Reddman Road Fax: (704) Charlotte, NC Lic No: NH0363 Provider: (SNF # 120)(ACH # 0) Brian Center Nursing Care/Shamrock Sharon L LeBlanc, Administrator (704) Shamrock Drive Fax: (704) Charlotte, NC Lic No: NH0465 Provider: (SNF # 100)(ACH # 0) report 'nhlistco' 15

16 MECKLENBURG Brookdale Carriage Club Providence D'Anna L Helms, Administrator (704) Old Providence Road Fax: (704) Charlotte, NC Lic No: NH0574 Provider: (SNF # 42)(ACH # 2) MECKLENBURG Olde Knox Commons at The Villages of Mecklenburg Jimmy D Greene, Administrator (704) Hunton Lane Fax: (704) Huntersville, NC Lic No: NH0620 Provider: (SNF # 114)(ACH # 0) Carrington Place Marissa O Helbing, Administrator (704) Fullwood Lane Fax: (704) Matthews, NC Lic No: NH0060 Provider: (SNF # 166)(ACH # 10) Charlotte Health & Rehabilitation Center Angela Conrade, Administrator (704) Toddville Road Fax: (704) Charlotte, NC Lic No: NH0512 Provider: (SNF # 120)(ACH # 0) Clear Creek Nursing & Rehabilitation Center Coleen L Anderson, Administrator (704) Clear Creek Commerce Drive Fax: (704) Mint Hill, NC Lic No: NH0635 Provider: (SNF # 120)(ACH # 0) Pavilion Health Center at Brightmore Jeffery R Bardo, Administrator (980) Providence Road West Fax: (980) Charlotte, NC Lic No: NH0639 Provider: (SNF # 120)(ACH # 0) Peak Resources-Charlotte Drew Richard, Administrator (704) Central Avenue Fax: (704) Charlotte, NC Lic No: NH0426 Provider: (SNF # 142)(ACH # 0) Pineville Rehabilitation and Living Center Cassandra J Dority, Administrator (704) Lakeview Drive Fax: (704) Pineville, NC Lic No: NH0521 Provider: (SNF # 106)(ACH # 10) Golden LivingCenter-Charlotte Sherry Dixon, Administrator 2616 East 5th Street Charlotte, NC Lic No: NH0279 Provider: Golden LivingCenter-Dartmouth K Daniel Goodwin, Administrator 300 Providence Road Charlotte, NC Lic No: NH0319 Provider: (704) Fax: (704) (SNF # 120)(ACH # 0) (704) Fax: (704) (SNF # 133)(ACH # 0) Royal Park Rehabilitation & Health Center Mark Farran, Administrator (704) Royal Commons Lane Fax: (704) Matthews, NC Lic No: NH0063 Provider: (SNF # 169)(ACH # 0) Sardis Oaks Colin C Clode, Administrator (704) Sardis Road Fax: (704) Charlotte, NC Lic No: NH0483 Provider: (SNF # 124)(ACH # 0) Hunter Woods Nursing and Rehabilitation Center Shannon H Brown, Administrator (704) Tom Hunter Rd. Fax: (704) Charlotte, NC Lic No: NH0503 Provider: (SNF # 120)(ACH # 10) Saturn Nursing and Rehabilitation Center Elisa P Matheney, Administrator (704) West Sugar Creek Road Fax: (704) Charlotte, NC Lic No: NH0557 Provider: (SNF # 120)(ACH # 20) Huntersville Oaks Scharee Majeed, Administrator Verhoeff Drive Huntersville, NC Lic No: NH0377 Provider: (704) Fax: (704) (SNF # 168)(ACH # 0) Sharon Towers Melessia McGinnis, Administrator (704) Sharon Road Fax: (704) Charlotte, NC Lic No: NH0121 Provider: (SNF # 96)(ACH # 40) Mecklenburg Health & Rehabilitation Center Danute Nykas, Administrator (704) Sandy Porter Road Fax: (704) Charlotte, NC Lic No: NH0570 Provider: (SNF # 100)(ACH # 0) Southminster Mary C Cooper, Administrator (704) Park Road Fax: (704) Charlotte, NC Lic No: NH0414 Provider: None (SNF # 60)(ACH # 25) report 'nhlistco' 16

17 MECKLENBURG The Pines at Davidson David C Rainey, Administrator 400 Avinger Lane Davidson, NC Lic No: NH0443 Provider: None (704) Fax: (704) (SNF # 54)(ACH # 30) MOORE Inn at Quail Haven Village Angela K Pauline, Administrator 155 Blake Blvd Pinehurst, NC Lic No: NH0605 Provider: (910) Fax: (910) (SNF # 60)(ACH # 0) The Stewart Health Center Steven N Kerley, Administrator 6920 Marching Duck Drive Charlotte, NC (704) Fax: (704) Lic No: NH0584 Provider: (SNF # 56)(ACH # 4) KingsWood Nursing Center Stephen L Burroughs, Administrator 915 Pee Dee Road Aberdeen, NC Lic No: NH0597 Provider: (910) Fax: (910) (SNF # 90)(ACH # 10) University Place Nursing and Rehabilitation Center Kathy B Eudy, Administrator (704) P.O. Box Fax: (704) Charlotte, NC Lic No: NH0016 Provider: (SNF # 207)(ACH # 10) Manor Care Health Services-Pinehurst Phillip M Britt, Administrator (910) Rattlesnake Trail Fax: (910) Pinehurst, NC Lic No: NH0230 Provider: (SNF # 120)(ACH # 0) White Oak Manor-Charlotte Amanda Pack, Administrator (704) Craig Avenue Fax: (704) Charlotte, NC Lic No: NH0350 Provider: (SNF # 180)(ACH # 0) WillowBrooke Court SC Ctr at Plantation Estates Linda L Witcher, Administrator (704) Plantation Estates Drive Fax: (704) Matthews, NC Lic No: NH0466 Provider: (SNF # 80)(ACH # 60) Peak Resources-Pinelake Georgianna F Powers, Administrator 801 Pinehurst Avenue Carthage, NC Lic No: NH0539 Provider: Penick Village Toni Y Williams, Administrator 500 East Rhode Island Avenue Southern Pines, NC Lic No: NH0127 Provider: (910) Fax: (910) (SNF # 90)(ACH # 20) (910) Fax: (910) (SNF # 50)(ACH # 42) Wilora Lake Healthcare Center Randy K Smithey, Administrator 6001 Wilora Lake Road Charlotte, NC Lic No: NH0572 Provider: (704) Fax: (704) (SNF # 70)(ACH # 20) Pinehurst Healthcare & Rehabilitation Center Thaddeus R Morgan, Administrator (910) P O Box 5309 Fax: (910) Pinehurst, NC Lic No: NH0294 Provider: (SNF # 144)(ACH # 0) MITCHELL Brian Center Health & Rehabilitation/Spruce Pine Malcolm S Spear, Administrator (828) Laurel Creek Court Fax: (828) Spruce Pine, NC Lic No: NH0433 Provider: (SNF # 127)(ACH # 6) MONTGOMERY Autumn Care of Biscoe Jeffrey Cochran, Administrator (910) Lambert Road; P O Box 708 Fax: (910) Biscoe, NC Lic No: NH0411 Provider: (SNF # 141)(ACH # 10) St Joseph of The Pines Health Center Dawn R Wilson, Administrator 103 Gossman Drive Southern Pines, NC Lic No: NH0589 Provider: (910) Fax: (910) (SNF # 176)(ACH # 0) NASH Autumn Care of Nash Karen Sparrow, Administrator (252) P.O. Box 157 Fax: (252) Nashville, NC Lic No: NH0602 Provider: (SNF # 60)(ACH # 20) report 'nhlistco' 17

18 NASH Hunter Hills Nursing and Rehabilitation Center Michelle Batchelor, Administrator (252) PO Box 8495 Fax: (252) Rocky Mount, NC Lic No: NH0437 Provider: (SNF # 141)(ACH # 9) NEW HANOVER Liberty Commons Rehabilitation Center Gabriel Tew, Administrator (910) Racine Drive Fax: (910) Wilmington, NC Lic No: NH0569 Provider: (SNF # 100)(ACH # 40) Rocky Mount Rehabilitation Center Neil Ivey, Administrator (252) Winstead Avenue Fax: (252) Rocky Mount, NC Lic No: NH0313 Provider: (SNF # 117)(ACH # 0) South Village Linda D Tharrington, Administrator (252) W Raleigh Blvd Fax: (252) Rocky Mount, NC Lic No: NH0122 Provider: (SNF # 100)(ACH # 15) NEW HANOVER Autumn Care of Myrtle Grove Melissa Sullivan, Administrator (910) Carolina Beach Rd.; P.O. Box Fax: (910) Wilmington, NC Lic No: NH0595 Provider: (SNF # 90)(ACH # 20) Azalea Health & Rehab Center Kathleen M Stierwalt, Administrator 3800 Independence Blvd Wilmington, NC Lic No: NH0632 Provider: Cypress Pointe Rehabilitation Center Jennifer L Williamson, Administrator 2006 South 16th Street Wilmington, NC Lic No: NH0205 Provider: (910) Fax: (910) (SNF # 80)(ACH # 0) (910) Fax: (910) (SNF # 90)(ACH # 0) NorthChase Nursing and Rehabilitation Center Destiny R Harris, Administrator (910) Enterprise Drive Fax: (910) Wilmington, NC Lic No: NH0436 Provider: (SNF # 140)(ACH # 0) Silver Stream Health and Rehabilitation Center Brian R Tenney, Administrator (910) Silver Stream Lane Fax: (910) Wilmington, NC Lic No: NH0617 Provider: (SNF # 110)(ACH # 0) Trinity Grove Bonnie J Skobel, Administrator (910) Junction Creek DRive Fax: (910) Wilmington, NC Lic No: NH0630 Provider: (SNF # 100)(ACH # 0) Wilmington Health and Rehabilitation Center Doug R Whitman, Administrator (910) Wellington Avenue Fax: (910) Wilmington, NC Lic No: NH0392 Provider: (SNF # 120)(ACH # 0) NORTHAMPTON Northampton Nursing and Rehabilitation Center Deloris B Roberson, Administrator (252) Hampton Woods Complex Fax: (252) Jackson, NC Lic No: NH0537 Provider: (SNF # 80)(ACH # 0) Davis Health Care Center Angela H Barr, Administrator 1011 Porters Neck Road Wilmington, NC Lic No: NH0097 Provider: (910) Fax: (910) (SNF # 179)(ACH # 0) Rich Square Health Care Center Freda J Wright, Administrator (252) North Main Street Fax: (252) Rich Square, NC Lic No: NH0045 Provider: (SNF # 69)(ACH # 0) Davis Health and Wellness Center at Cambridge Village Elizabeth H Schmidlin, Administrator (910) Cavalier Drive Fax: (910) Wilmington, NC Lic No: NH0645 Provider: (SNF # 20)(ACH # 0) ONSLOW Carolina Rivers Nursing and Rehabilitation Center Brandy Humphrey, Administrator (910) Onslow Drive Extension; P O Box 5021 Fax: (910) Jacksonville, NC Lic No: NH0370 Provider: (SNF # 120)(ACH # 0) report 'nhlistco' 18

19 ONSLOW Premier Nursing and Rehabilitation Center Nancy K Pless, Administrator (910) White Street Fax: (910) Jacksonville, NC Lic No: NH0229 Provider: (SNF # 239)(ACH # 7) PASQUOTANK Kindred Transitional Care and Rehabilitation Elizabeth Tonia M Bryant, Administrator 901 South Halstead Boulevard (252) Fax: (252) Elizabeth City, NC Lic No: NH0302 Provider: (SNF # 108)(ACH # 0) ORANGE Brookshire Nursing Center Joshua D Stevens, Administrator (919) Meadowland Drive; P O Box 1107 Fax: (919) Hillsborough, NC Lic No: NH0545 Provider: (SNF # 80)(ACH # 20) PENDER Huntington Health Care Carrie T Payne, Administrator 311 South Campbell Street Burgaw, NC Lic No: NH0461 Provider: (910) Fax: (910) (SNF # 98)(ACH # 23) Carol Woods Nicole C Bodkin, Administrator 750 Weaver Dairy Road Chapel Hill, NC Lic No: NH0258 Provider: (919) Fax: (919) (SNF # 30)(ACH # 65) Woodbury Wellness Center Inc Judith A Bullard, Administrator 2778 Country Club Drive Hampstead, NC Lic No: NH0300 Provider: (910) Fax: (910) (SNF # 112)(ACH # Legion Road Healthcare 44 McNeil's Plaza Whiteville, NC Lic No: NH0239 Provider: Pruitt Health-Carolina Point La'Ticia N Beatty, Administrator 5935 Mount Sinai Road Durham, NC Lic No: NH0093 Provider: ( ) - Fax: ( ) - (SNF # 133)(ACH # 7) (919) Fax: (919) (SNF # 138)(ACH # 2) Signature HealthCARE of Chapel Hill Turner T Prickett III, Administrator (919) East Franklin Street Fax: (919) Chapel Hill, NC Lic No: NH0329 Provider: (SNF # 108)(ACH # 0) PAMLICO Grantsbrook Nursing and Rehabilitation Center Truman A Vereen, Administrator (252) Keel Road Fax: (252) Grantsboro, NC Lic No: NH0450 Provider: (SNF # 96)(ACH # 8) PASQUOTANK Elizabeth City Health and Rehabilitation David Fardulis, Administrator (252) US Highway 17 South Fax: (252) Elizabeth City, NC Lic No: NH0040 Provider: (SNF # 146)(ACH # 0) PERQUIMANS Brian Center Health and Rehabilitation/Hertford Lisa Fitzgerald, Administrator (252) Don Juan Road Fax: (252) Hertford, NC Lic No: NH0432 Provider: (SNF # 78)(ACH # 0) PERSON Roxboro Healthcare & Rehabilitation Center Jill O Strickland, Administrator (336) Ridge Road Fax: (336) Roxboro, NC Lic No: NH0265 Provider: (SNF # 140)(ACH # 5) PITT Ayden Court Nursing and Rehabilitation Center Julie C Daugherty, Administrator 128 Snow Hill Road (252) Fax: (252) Ayden, NC Lic No: NH0582 Provider: (SNF # 82)(ACH # 0) Cypress Glen Retirement Community Laurie H Stallings, Administrator 100 Hickory Street Greenville, NC Lic No: NH0473 Provider: East Carolina Rehab and Wellness Scott M Cole, Administrator 2575 West 5th Street Greenville, NC Lic No: NH0505 Provider: (252) Fax: (252) (SNF # 30)(ACH # 30) (252) Fax: (252) (SNF # 130)(ACH # 20) report 'nhlistco' 19

20 PITT Golden LivingCenter-Greenville Hal E Garland Jr, Administrator (252) MacGregor Downs; P.O. Box 5046 Greenville, NC Lic No: NH0271 Provider: (SNF # 152)(ACH # 0) RANDOLPH The Graybrier Nursing And Retirement Center Justin A Percival, Administrator (336) Lane Drive Fax: (336) Trinity, NC Lic No: NH0489 Provider: (SNF # 128)(ACH # 0) PruittHealth-Farmville Terry E Hayes, Administrator (252) South Main Street Fax: (252) Farmville, NC Lic No: NH0304 Provider: (SNF # 56)(ACH # 0) Universal Health Care/Ramseur Christine P Caviness, Administrator 7166 Jordon Road Ramseur, NC Lic No: NH0609 Provider: (336) Fax: (336) (SNF # 90)(ACH # 0) Universal Health Care/Greenville Janice D Mallard, Administrator (252) West 5th Street Fax: (252) Greenville, NC Lic No: NH0446 Provider: (SNF # 120)(ACH # 0) Westwood Health and Rehabilitation Center William K Leverett, Administrator 625 Ashland Street Archdale, NC Lic No: NH0556 Provider: (336) Fax: (336) (SNF # 68)(ACH # 16) POLK Autumn Care of Saluda Regina Walker, Administrator (828) Esseola Drive; P O Box 488 Fax: (828) Saluda, NC Lic No: NH0367 Provider: (SNF # 99)(ACH # 0) White Oak Manor-Tryon Mary J Lance, Administrator (828) Oak Street; PO Box 1535 Fax: (828) Tryon, NC Lic No: NH0399 Provider: (SNF # 70)(ACH # 30) Woodland Hill Center Michael E Garland, Administrator 400 Vision Drive Asheboro, NC Lic No: NH0448 Provider: RICHMOND PruittHealth-Rockingham Debra F Griggs, Administrator 804 South Long Drive Rockingham, NC Lic No: NH0427 Provider: (336) Fax: (336) (SNF # 100)(ACH # 0) (910) Fax: (910) (SNF # 120)(ACH # 0) WillowBrooke Court SC Center at Tryon Estates Kathryn G Dotson, Administrator (828) Laurel Lake Drive Fax: (828) Columbus, NC Lic No: NH0559 Provider: (SNF # 52)(ACH # 44) Richmond Pines Healthcare and Rehabilitation Center Chad Colby, Administrator Highway 177 South; P O Box 1489 (910) Fax: (910) Hamlet, NC Lic No: NH0455 Provider: (SNF # 105)(ACH # 10) RANDOLPH Clapp's Convalescent Nursing Home Inc Phyllis L Jones, Administrator (336) Mountain Top Drive Fax: (336) Asheboro, NC Lic No: NH0020 Provider: (SNF # 96)(ACH # 0) Randolph Health and Rehabilitation Center Yvonne M Washburn, Administrator (336) East Presnell Street Fax: (336) Asheboro, NC Lic No: NH0335 Provider: (SNF # 238)(ACH # 0) ROBESON GlenFlora Randall J Kropp, Administrator 5701 Fayetteville Road Lumberton, NC Lic No: NH0533 Provider: Golden LivingCenter-Lumberton Roxanne W Thompson, Administrator P O Box 1675 Lumberton, NC Lic No: NH0289 Provider: (910) Fax: (910) (SNF # 52)(ACH # 20) (910) Fax: (910) (SNF # 122)(ACH # 0) report 'nhlistco' 20

21 ROBESON Highland Acres Nursing and Rehabilitation Center Larissa Locklier, Administrator (910) Linkhaw Road Fax: (910) Lumberton, NC Lic No: NH0472 Provider: (SNF # 90)(ACH # 5) ROWAN Big Elm Retirement and Nursing Centers Thomas E Gatewood III, Administrator (704) West A Street Fax: (704) Kannapolis, NC Lic No: NH0471 Provider: (SNF # 50)(ACH # 96) Pembroke Center Theresa Johnson-Tillison, Administrator (910) East Wardell Drive; P O Box 2529 Fax: (910) Pembroke, NC Lic No: NH0518 Provider: (SNF # 84)(ACH # 0) Wesley Pines Retirement Community M Wade Rozier, Administrator 1000 Wesley Pines Road Lumberton, NC Lic No: NH0240 Provider: ROCKINGHAM Avante at Reidsville Misty C Hackett, Administrator 543 Maple Avenue Reidsville, NC Lic No: NH0293 Provider: Jacob's Creek Nursing and Rehabilitation Center James Krob, Administrator (336) (Bailey Road); 1721 Bald Hill Loop Fax: (336) Madison, NC Lic No: NH0092 Provider: (SNF # 170)(ACH # 0) Penn Nursing Center Annette M McNeill, Administrator 618-A South Main Street Reidsville, NC Lic No: NH0614 Provider: ROWAN (910) Fax: (910) (SNF # 62)(ACH # 42) (336) Fax: (336) (SNF # 110)(ACH # 0) Brian Center Health and Rehabilitation/Eden Megan M Brown, Administrator (336) North Oakland Avenue Fax: (336) Eden, NC Lic No: NH0361 Provider: (SNF # 112)(ACH # 0) (336) Fax: (336) (SNF # 82)(ACH # 10) Autumn Care of Salisbury Glenn R Terry, Administrator (704) Bringle Ferry Road; P O Box 1789 Fax: (704) Salisbury, NC Lic No: NH0424 Provider: (SNF # 97)(ACH # 3) Brian Center Health & Rehabilitation/Salisbury Rebecca E Marion, Administrator (704) Statesville Boulevard Fax: (704) Salisbury, NC Lic No: NH0449 Provider: (SNF # 185)(ACH # 0) Brightmoor Nursing Center Wanda G Lowman, Administrator (704) West Fisher Street; P O Box 2167 Fax: (704) Salisbury, NC Lic No: NH0050 Provider: (SNF # 58)(ACH # 43) Liberty Commons Nsg and Rehab Ctr of Rowan Cty Patrick Foley, Administrator (704) South Main Street Fax: (704) Salisbury, NC Lic No: NH0591 Provider: (SNF # 90)(ACH # 0) Magnolia Estates Skilled Care Facility Christina A Billings, Administrator (704) P O Box 5 Fax: (704) Spencer, NC Lic No: NH0442 Provider: (SNF # 70)(ACH # 0) North Carolina State Veterans Home Salisbury Sally Davis, Administrator (704) P.O. Box 599 Fax: (704) Salisbury, NC Lic No: NH0616 Provider: (SNF # 99)(ACH # 0) Salisbury Center Timothy W Cornelison, Administrator (704) Julian Road Fax: (704) Salisbury, NC Lic No: NH0441 Provider: (SNF # 160)(ACH # 20) The Laurels of Salisbury Casey J Baucom, Administrator (704) Lash Drive Fax: (704) Salisbury, NC Lic No: NH0538 Provider: (SNF # 60)(ACH # 20) Trinity Oaks William M Johnson, Administrator (704) Klumac Road Fax: (704) Salisbury, NC Lic No: NH0197 Provider: (SNF # 115)(ACH # 25) report 'nhlistco' 21

22 RUTHERFORD Fair Haven Home Suzanne Hensley, Administrator 149 Fair Haven Drive Bostic, NC Lic No: NH0531 Provider: (828) Fax: (828) (SNF # 30)(ACH # 37) SCOTLAND Scottish Pines Rehabilitation and Nursing Center Margaret L Dickerson, Administrator (910) Johns Road Fax: (910) Laurinburg, NC Lic No: NH0340 Provider: (SNF # 149)(ACH # 0) Fair Haven of Forest City Martha C Fitzgerald, Administrator 830 Bethany Church Road Forest City, NC Lic No: NH0474 Provider: Oak Grove Healthcare Center Annette M Molloy, Administrator 518 Old US Hwy 221 Rutherfordton, NC Lic No: NH0566 Provider: White Oak Manor-Rutherfordton Renita G Chapman, Administrator 188 Oscar Justice Rd. Rutherfordton, NC Lic No: NH0153 Provider: Willow Ridge of NC LLC Adam Bealer, Administrator 237 Tryon Road Rutherfordton, NC Lic No: NH0590 Provider: SAMPSON Mary Gran Nursing Center Jane Jackson, Administrator 120 Southwood Drive; P O Box 379 Clinton, NC Lic No: NH0089 Provider: (828) Fax: (828) (SNF # 100)(ACH # 28) (828) Fax: (828) (SNF # 60)(ACH # 16) (828) Fax: (828) (SNF # 80)(ACH # 0) (828) Fax: (828) (SNF # 150)(ACH # 0) (910) Fax: (910) (SNF # 212)(ACH # 30) Southwood Nursing and Retirement Center Karen N Metcalf, Administrator (910) P O Box 708 Fax: (910) Clinton, NC Lic No: NH0571 Provider: (SNF # 100)(ACH # 0) SCOTLAND Scotia Village Raymond Esteves, Administrator (910) Elm Avenue Fax: (910) Laurinburg, NC Lic No: NH0457 Provider: (SNF # 58)(ACH # 32) STANLY Bethany Woods Nursing and Rehabilitation Center Diane G Hinkle, Administrator (704) Old Salisbury Road; P O Box 1250 Fax: (704) Albemarle, NC Lic No: NH0462 Provider: (SNF # 180)(ACH # 10) Forrest Oakes Healthcare Center Zachary P Hake, Administrator (704) Heathwood Drive Fax: (704) Albemarle, NC Lic No: NH0550 Provider: (SNF # 60)(ACH # 17) Stanly Manor Stephanie Herrin-Huneycutt, Administrator (704) Bethany Road Fax: (704) Albemarle, NC Lic No: NH0464 Provider: (SNF # 90)(ACH # 10) Trinity Place Courtney B Adams, Administrator (704) South Business 52 Fax: (704) Albemarle, NC Lic No: NH0140 Provider: (SNF # 76)(ACH # 10) STOKES Universal Health Care/King Alan Beaver, Administrator (336) White Road Fax: (336) King, NC Lic No: NH0555 Provider: (SNF # 96)(ACH # 24) Village Care of King James M Eads, Administrator (336) Ingram Road; P O Box 1750 Fax: (336) King, NC Lic No: NH0507 Provider: (SNF # 96)(ACH # 20) Walnut Cove Health and Rehabilitation Center Joshua R Dorn, Administrator (336) PO BOX 158 Fax: (336) Walnut Cove, NC Lic No: NH0316 Provider: (SNF # 90)(ACH # 9) report 'nhlistco' 22

23 SURRY Central Continuing Care Kyle M Payne, Administrator (336) Newsome Street Fax: (336) Mount Airy, NC Lic No: NH0516 Provider: (SNF # 120)(ACH # 0) UNION Brian Center Health & Retirement/Monroe John B Ficker, Administrator (704) Old Highway 74 East Fax: (704) Monroe, NC Lic No: NH0493 Provider: (SNF # 60)(ACH # 12) Chatham Nursing & Rehabilitation David DuVall, Administrator (336) Johnston Ridge Road Fax: (336) Elkin, NC Lic No: NH0640 Provider: (SNF # 99)(ACH # 28) Lake Park Nursing and Rehabilitation Center Kimberly L Synder, Administrator 3315 Faith Church Rd. (704) Fax: (704) Indian Trail, NC Lic No: NH0592 Provider: (SNF # 120)(ACH # 0) Golden LivingCenter-Surry Community August J Gephardt, Administrator (336) Allred Mill Road Fax: (336) Mount Airy, NC Lic No: NH0276 Provider: (SNF # 120)(ACH # 0) PruittHealth-Elkin Linda H Reece, Administrator (336) Johnson Ridge Road Fax: (336) Elkin, NC Lic No: NH0303 Provider: (SNF # 100)(ACH # 0) Monroe Rehabilitation Center Christina M Acosta, Administrator 1212 Sunset Drive East Monroe, NC Lic No: NH0310 Provider: PruittHealth-Union Pointe John Thomas, Administrator 3510 West Highway 74 Monroe, NC Lic No: NH0644 Provider: (704) Fax: (704) (SNF # 147)(ACH # 5) (704) Fax: (704) (SNF # 90)(ACH # 0) SWAIN Mountain View Manor Nursing Center Dennis C Ramsey, Administrator (828) Buckner Branch Road; P O Box 2344 Fax: (828) Bryson City, NC Lic No: NH0251 Provider: (SNF # 120)(ACH # 0) TRANSYLVANIA Brian Center Health and Rehabilitation/Brevard Donna Morgan-Kelley, Administrator (828) N. Country Club Road; P O Box 1096 Fax: (828) Brevard, NC Lic No: NH0277 Provider: (SNF # 147)(ACH # 0) The Oaks-Brevard Matthews Cummings, Administrator (828) Morris Road; P O Box 1156 Fax: (828) Brevard, NC Lic No: NH0563 Provider: (SNF # 110)(ACH # 10) UNION Autumn Care of Marshville Jonathan R Thomas, Administrator (704) West Phifer Street; P O Box 608 Fax: (704) Marshville, NC Lic No: NH0421 Provider: (SNF # 110)(ACH # 10) White Oak of Waxhaw Lauren E Cecil, Administrator 700 Howie Mine Road Waxhaw, NC Lic No: NH0628 Provider: (704) Fax: (704) (SNF # 100)(ACH # 0) VANCE Kerr Lake Nursing and Rehabilitation Center Nancy Hughes, Administrator (252) Park Avenue; P O Box 1148 Fax: (252) Henderson, NC Lic No: NH0353 Provider: (SNF # 92)(ACH # 23) Kindred Nursing and Rehabilitation-Henderson Jacqueline Mitchell, Administrator (252) South Beckford Drive Fax: (252) Henderson, NC Lic No: NH0307 Provider: (SNF # 78)(ACH # 0) Senior Citizen's Home Inc Herman A Davis III, Administrator (252) Ruin Creek Road; P. O. Box 848 Fax: (252) Henderson, NC Lic No: NH0477 Provider: (SNF # 60)(ACH # 54) report 'nhlistco' 23

24 WAKE Brittany Place Christopher Romick, Administrator (919) Searstone Drive Fax: (919) Cary, NC Lic No: NH0636 Provider: (SNF # 16)(ACH # 8) WAKE Raleigh Rehabilitation Center Mark D Childs, Administrator (919) Wade Avenue Fax: (919) Raleigh, NC Lic No: NH0115 Provider: (SNF # 157)(ACH # 0) Capital Nursing and Rehabilitation Center Amy Huntley, Administrator (919) Holston Lane Fax: (919) Raleigh, NC Lic No: NH0268 Provider: (SNF # 125)(ACH # 0) Cary Health and Rehabilitation Center Elizabeth H Holland, Administrator (919) Tryon Road Fax: (919) Cary, NC Lic No: NH0511 Provider: (SNF # 120)(ACH # 30) Dan E & Mary Louise Stewart Health Center of Cary R Corley, Administrator (919) Sawmill Road Fax: (919) Raleigh, NC Lic No: NH0383 Provider: None (SNF # 173)(ACH # 18) Glenaire Beverly L Cowdrick, Administrator (919) Glenaire Circle Fax: (919) Cary, NC Lic No: NH0549 Provider: (SNF # 71)(ACH # 9) Hillcrest Raleigh at Crabtree Valley Lisa H Lee, Administrator (919) Blue Ridge Road Fax: (919) Raleigh, NC Lic No: NH0428 Provider: (SNF # 134)(ACH # 0) Hillside Nursing Center of Wake Forest Hawley M Hunt, Administrator (919) P O Box 1826 Fax: (919) Wake Forest, NC Lic No: NH0525 Provider: (SNF # 130)(ACH # 20) Litchford Falls Healthcare and Rehabilitation Center Victoria C Hope, Administrator (919) Litchford Road Fax: (919) Raleigh, NC Lic No: NH0558 Provider: (SNF # 90)(ACH # 24) PruittHealth-Raleigh Darryl Taylor, Administrator (919) Lake Wheeler Road Fax: (919) Raleigh, NC Lic No: NH0618 Provider: (SNF # 150)(ACH # 0) Rex Rehabilitation and Nursing Care Center of Apex Michael Hess, Administrator (919) South Hughes St. Fax: (919) Apex, NC Lic No: NH0594 Provider: (SNF # 107)(ACH # 0) Sunnybrook Rehabilitation Center Craig B Mitchell, Administrator (919) Sunnybrook Road Fax: (919) Raleigh, NC Lic No: NH0146 Provider: (SNF # 95)(ACH # 0) The Laurels of Forest Glenn Jonathan J Wade, Administrator (919) Hartwell Street Fax: (919) Garner, NC Lic No: NH0506 Provider: (SNF # 120)(ACH # 20) The Oaks at Whitaker Glen-Mayview Ginger B Baker, Administrator (919) East Whitaker Mill Road Fax: (919) Raleigh, NC Lic No: NH0007 Provider: (SNF # 139)(ACH # 0) The Rosewood Health Center Sena Quist, Administrator (919) Cypress Lakes Drive Fax: (919) Raleigh, NC Lic No: NH0622 Provider: (SNF # 36)(ACH # 4) Tower Nursing and Rehabilitation Center Jacqueline Livermore, Administrator (919) Bond Street Fax: (919) Raleigh, NC Lic No: NH0354 Provider: (SNF # 180)(ACH # 6) Universal Health Care/Fuquay-Varina Donna R Cook, Administrator (919) North Oxford Street Fax: (919) Claremont, NC Lic No: NH0637 Provider: (SNF # 100)(ACH # 0) Universal Health Care/North Raleigh Michelle T Baldwin, Administrator (919) Clarks Fork Drive, NW Fax: (919) Raleigh, NC Lic No: NH0611 Provider: (SNF # 132)(ACH # 0) report 'nhlistco' 24

25 WAKE Wellington Rehabilitation and Healthcare James V Caligiuri, Administrator (919) Tandall Place Fax: (919) Knightdale, NC Lic No: NH0544 Provider: (SNF # 80)(ACH # 20) WAYNE Willow Creek Nursing and Rehabilitation Center Wendy Clarke, Administrator (919) Wayne Memorial Drive; P O Box Fax: (919) Goldsboro, NC Lic No: NH0379 Provider: (SNF # 200)(ACH # 0) Zebulon Rehabilitation Center Sharla A Haugh, Administrator (919) West Gannon Avenue Fax: (919) Zebulon, NC Lic No: NH0317 Provider: (SNF # 60)(ACH # 0) WARREN Warren Hills, A Personal Care & Nursing Facility Danny W Moss, Administrator (252) PO Box 618 Fax: (252) Warrenton, NC Lic No: NH0360 Provider: (SNF # 140)(ACH # 20) WASHINGTON Roanoke Landing Nursing and Rehabilitation Center Penny K Brown, Administrator (252) US 64 East Fax: (252) Plymouth, NC Lic No: NH0419 Provider: (SNF # 114)(ACH # 9) WATAUGA Blowing Rock Rehab Davant Extended Care Ctr Nathan A White, Administrator (828) P O Box 148 Fax: (828) Blowing Rock, NC Lic No: NH0638 Provider: (SNF # 72)(ACH # 0) Glenbridge Health and Rehabilitation Center Laura J White, Administrator (828) Milton Brown Heirs Road Fax: (828) Boone, NC Lic No: NH0400 Provider: (SNF # 134)(ACH # 0) WAYNE Brian Center Health and Rehabilitation/Goldsboro Marcus G Faison, Administrator (919) Wayne Memorial Drive Fax: (919) Goldsboro, NC Lic No: NH0492 Provider: (SNF # 130)(ACH # 0) Mount Olive Center William J Marshall, Administrator (919) Smith Chapel Road; P O Box 1079 Fax: (919) Mount Olive, NC Lic No: NH0401 Provider: (SNF # 150)(ACH # 0) WILKES Avante at Wilkesboro John P Walder, Administrator (336) College Street Fax: (336) Wilkesboro, NC Lic No: NH0451 Provider: (SNF # 120)(ACH # 0) Westwood Hills Nursing and Rehabilitation Center Janice B Somers, Administrator (336) Fletcher Street Fax: (336) Wilkesboro, NC Lic No: NH0295 Provider: (SNF # 176)(ACH # 10) Wilkes Senior Village Alicia Huffman, Administrator (336) Old Brickyard Road; 204 Old Brickyard Fax: (336) North Wilkesboro, NC Lic No: NH0509 Provider: (SNF # 111)(ACH # 19) WILSON Avante at Wilson Taslim P Ahmed, Administrator (252) Forest Hills Road Fax: (252) Wilson, NC Lic No: NH0272 Provider: (SNF # 110)(ACH # 0) Brian Center Health & Rehabilitation/Wilson Dan R Cotten, Administrator (252) Downing Street Fax: (252) Wilson, NC Lic No: NH0487 Provider: (SNF # 99)(ACH # 0) Wilson Pines Nursing and Rehabilitation Center Michael J Kelly, Administrator (252) Crestview Avenue Fax: (252) Wilson, NC Lic No: NH0218 Provider: (SNF # 95)(ACH # 30) Wilson Rehabilitation and Nursing Center Betty Lancaster, Administrator (252) South Tarboro Street Fax: (252) Wilson, NC Lic No: NH0530 Provider: (SNF # 90)(ACH # 0) report 'nhlistco' 25

26 YADKIN Willowbrook Rehabilitation and Care Center Brandi H Semones, Administrator (336) E. Lee Avenue Fax: (336) Yadkinville, NC Lic No: NH0568 Provider: (SNF # 76)(ACH # 0) Yadkin Nursing Care Center Nolan G Brown, Administrator (336) West Main Street; P O Box 879 Fax: (336) Yadkinville, NC Lic No: NH0224 Provider: (SNF # 147)(ACH # 0) YANCEY Brookside Rehabilitation and Care Dale E Spangler, Administrator (828) Pensacola Road; P O Box 248 Fax: (828) Burnsville, NC Lic No: NH0467 Provider: (SNF # 140)(ACH # 0) Total number of facilities: 412 report 'nhlistco' 26