Nursing Facility by County

ALAMANCE Alamance Health Care Center Jonathan Caudill, Administrator 1987 Hilton Road Burlington, NC 27217- Lic No: NH0529 Provider: 345420 (336)226-0848 Fax: (336)226-6274 (SNF # 180)(ACH # 0) ALEXANDER Valley Nursing Center Sandra P Loftin, Administrator (828)632-8146 581 NC Hwy. 16 South Fax: (828)635-1819 Taylorsville, NC 28681-9986 Lic No: NH0381 Provider: 345247 (SNF # 183)(ACH # 0) Edgewood Place at the Village at Brookwood Stephen P Swanson, Administrator (336)570-8250 1820 Brookwood Avenue Fax: (336)570-8263 Burlington, NC 27215- Lic No: NH0596 Provider: 345091 (SNF # 105)(ACH # 24) Liberty Commons Nursing & Rehab Ctr of Alamance Cty Loie Leopardi, Administrator (336)586-9850 791 Boone Station Drive Fax: (336)586-9811 Burlington, NC 27215-9775 Lic No: NH0588 Provider: 345496 (SNF # 90)(ACH # 48) Peak Resources-Alamance Inc Nelson S Lacy-Sellers, Administrator (336)228-8394 779 Woody Drive Fax: (336)228-8170 Graham, NC 27253-1000 Lic No: NH0429 Provider: 345337 (SNF # 120)(ACH # 0) The Presbyterian Home of Hawfields Inc Max H Kernodle, Administrator (336)578-4701 2502 South NC 119 Fax: (336)578-4728 Mebane, NC 27302 Lic No: NH0364 Provider: 345363 (SNF # 117)(ACH # 0) Twin Lakes Community Philip A Williams, Administrator (336)538-1400 3801 Wade Coble Drive Fax: (336)538-1523 Burlington, NC 27215-9768 Lic No: NH0351 Provider: 345235 (SNF # 100)(ACH # 4) Twin Lakes Community Memory Care Lauren D Cook, Administrator (336)585-2400 3701 Wade Coble Drive Fax: (336)538-6876 Burlington, NC 27215-9756 Lic No: NH0621 Provider: 345545 (SNF # 16)(ACH # 16) ALLEGHANY Alleghany Center Julie M Stafford, Administrator (336)372-2441 179 Combs Street Fax: (336)372-7755 Sparta, NC 28675-9472 Lic No: NH0413 Provider: 345261 (SNF # 90)(ACH # 22) ANSON Ambassador Health & Rehab of Wadesboro LLC Richard L Ellickson, Administrator (704)694-4106 2051 Country Club Road Fax: (704)694-6726 Wadesboro, NC 28170-3204 Lic No: NH0090 Provider: 345392 (SNF # 66)(ACH # 53) Anson Health and Rehabilitation Gay L Lookabill, Administrator (704)695-3301 405 S Greene Street Fax: (704)694-9493 Wadesboro, NC 28170-2745 Lic No: NH0642 Provider: 340084 (SNF # 95)(ACH # 0) ASHE Margate Health and Rehab Center Scott Davis, Administrator 540 Waugh Street; P O Box 909 Jefferson, NC 28640-0909 Lic No: NH0459 Provider: 345296 (336)246-5581 Fax: (336)246-5997 (SNF # 210)(ACH # 0) AVERY Life Care Center of Banner Elk Sheree B Byrd, Administrator (828)898-5136 P O Box 2199; 185 Norwood Hollow Road Fax: (828)898-8426 Banner Elk, NC 28604 Lic No: NH0362 Provider: 345203 (SNF # 118)(ACH # 0) White Oak Manor-Burlington Nathan S Nesmith, Administrator 323 Baldwin Road Burlington, NC 27217 Lic No: NH0397 Provider: 345301 (336)229-5571 Fax: (336)229-2333 (SNF # 160)(ACH # 0) BEAUFORT Ridgewood Manor Michael L Kelly, Administrator (252)946-9570 1624 Highland Drive; P O Box 1868 Fax: (252)946-3715 Washington, NC 27889-1868 Lic No: NH0387 Provider: 345228 (SNF # 150)(ACH # 0) River Trace Nursing and Rehabilitation Center Jackie C Woolard, Administrator (252)975-1636 250 Lovers Lane; P O Box 398 Fax: (252)975-5960 Washington, NC 27889-0398 Lic No: NH0345 Provider: 345215 (SNF # 140)(ACH # 10) report 'nhlistco' 1

BERTIE Brian Center Health & Rehabilitation/Windsor David M Plemons, Administrator (252)794-5146 1306 South King Street Fax: (252)794-9409 Windsor, NC 27983-9663 Lic No: NH0491 Provider: 345339 (SNF # 82)(ACH # 0) BUNCOMBE Asheville Health Care Center Anthony J Abela, Administrator 1984 US 70 Highway Swannanoa, NC 28778 Lic No: NH0528 Provider: 345418 (828)298-2214 Fax: (828)298-2037 (SNF # 106)(ACH # 0) Three Rivers Health and Rehab Lynne H Furlough, Administrator 1403 Conner Drive Windsor, NC 27983- Lic No: NH0522 Provider: 345404 (252)794-4441 Fax: (252)794-2800 (SNF # 60)(ACH # 20) Asheville Nursing & Rehabilitation Center Melissa R Yates, Administrator (828)255-0076 91 Victoria Road Fax: (828)285-0437 Asheville, NC 28801-4491 Lic No: NH0233 Provider: 345174 (SNF # 120)(ACH # 0) BLADEN Elizabethtown Healthcare & Rehabilitation Center Lori Barrow, Administrator (910)862-8181 PO Box 1449 Fax: (910)862-4860 Elizabethtown, NC 28337-1449 Lic No: NH0328 Provider: 345210 (SNF # 94)(ACH # 0) Poplar Heights Center L Bernard Bryant, Administrator 804 South Poplar Street Elizabethtown, NC 28337- Lic No: NH0420 Provider: 345267 BRUNSWICK Autumn Care of Shallotte Jacqueline H Ward, Administrator 237 Mulberry Street; P O Box 2307 Shallotte, NC 28459-2307 Lic No: NH0456 Provider: 345294 Brunswick Cove Nursing Center Zachary B Miller, Administrator 1478 River Road Winnabow, NC 28479- Lic No: NH0478 Provider: 345318 (910)862-8100 Fax: (910)862-5386 (SNF # 90)(ACH # 30) (910)754-8858 Fax: (910)755-5059 (SNF # 130)(ACH # 10) (910)371-9894 Fax: (910)371-9609 (SNF # 175)(ACH # 40) Ocean Trail Healthcare & Rehabilitation Center Dennis V Reese, Administrator (910)457-9581 630 Fodale Avenue; P O Box 10249 Fax: (910)457-9583 Southport, NC 28461-0249 Lic No: NH0322 Provider: 345373 (SNF # 99)(ACH # 17) Universal Health Care/Brunswick Rebecca L Reeves, Administrator (910)755-5955 1070 Old Ocean Highway Fax: (910)755-8600 Bolivia, NC 28422- Lic No: NH0626 Provider: 345549 (SNF # 90)(ACH # 0) Aston Park Health Care Center Inc Marsha W Kaufman, Administrator (828)253-4437 380 Brevard Road Fax: (828)255-8635 Asheville, NC 28806-2945 Lic No: NH0262 Provider: 345198 (SNF # 120)(ACH # 19) Brian Center Health & Rehabilitation/Weaverville Alisa H Bradford, Administrator (828)645-4297 78 Weaver Boulevard Fax: (828)645-4532 Weaverville, NC 28787- Lic No: NH0532 Provider: 345221 (SNF # 122)(ACH # 10) Brooks-Howell Home Nancy C Garrison, Administrator (828)253-6712 266 Merrimon Avenue Fax: (828)225-2992 Asheville, NC 28801-1218 Lic No: NH0107 Provider: None (SNF # 58)(ACH # 0) Deerfield Episcopal Retirement Community Inc Brian King, Administrator (828)274-1531 1617 Hendersonville Road Fax: (828)274-0238 Asheville, NC 28803-3199 Lic No: NH0087 Provider: 345556 (SNF # 62)(ACH # 62) Emerald Ridge Rehabilitation and Care Center John E Quintier, Administrator (828)645-6619 25 Reynolds Mountain Boulevard Fax: (828)645-3767 Asheville, NC 28804-1270 Lic No: NH0551 Provider: 345447 (SNF # 100)(ACH # 14) Flesher's Fairview Health Care Center Inc Cheryl T Mitchell, Administrator (828)628-2800 3016 Cane Creek Road; P O Drawer 1160 Fax: (828)628-3887 Fairview, NC 28730-1160 Lic No: NH0517 Provider: 345413 (SNF # 106)(ACH # 14) Givens Health Center Robin J Suddreth, Administrator (828)771-2900 2360 Sweeten Creek Road Fax: (828)771-2901 Asheville, NC 28803-2030 Lic No: NH0484 Provider: 345328 (SNF # 70)(ACH # 14) report 'nhlistco' 2

BUNCOMBE Golden LivingCenter-Asheville Herschel B Sedoris III, Administrator (828)254-8833 500 Beaverdam Road Fax: (828)254-9923 Asheville, NC 28804-1806 Lic No: NH0321 Provider: 345010 (SNF # 77)(ACH # 0) BUNCOMBE Western North Carolina Baptist Home Christopher A Elmer, Administrator 213 Richmond Hill Drive Asheville, NC 28806 Lic No: NH0541 Provider: 345432 (828)254-9675 Fax: (828)254-0253 (SNF # 100)(ACH # 50) Highland Farms Kathy L Norman, Administrator (828)669-6473 200 Tabernacle Road Fax: (828)357-1054 Black Mountain, NC 28711-7733 Lic No: NH0147 Provider: 345078 (SNF # 60)(ACH # 30) Mountain Ridge Health and Rehab Carla V Weaver, Administrator (828)669-9991 611 Old US Hwy 70 E Fax: (828)669-9939 Black Mountain, NC 28711- Lic No: NH0235 Provider: 345048 (SNF # 97)(ACH # 3) NC State Veterans Home-Black Mountain Kathryn C West, Administrator (828)257-6800 62 Lake Eden Road Fax: (828)257-6860 Black Mountain, NC 28711- Lic No: NH0631 Provider: 345558 (SNF # 100)(ACH # 0) Pisgah Manor Health Care Center Michelle Grandy, Administrator (828)667-9851 95 Holcombe Cove Road Fax: (828)667-9858 Candler, NC 28715-9450 Lic No: NH0184 Provider: 345393 (SNF # 118)(ACH # 0) StoneCreek Health and Rehabilitation Clinton M Davis, Administrator (828)252-0099 455 Victoria Road Fax: (828)252-6356 Asheville, NC 28801-4892 Lic No: NH0291 Provider: 345204 (SNF # 120)(ACH # 0) The Laurels of GreenTree Ridge Jessica Hauser, Administrator (828)274-7646 70 Sweeten Creek Road Fax: (828)277-4752 Asheville, NC 28803- Lic No: NH0463 Provider: 345303 (SNF # 98)(ACH # 2) The Laurels of Summit Ridge Judith W Boyer, Administrator (828)299-1110 100 Riceville Road Fax: (828)299-4077 Asheville, NC 28805 Lic No: NH0540 Provider: 345438 (SNF # 60)(ACH # 63) The Oaks at Sweeten Creek Ashley L Smithey, Administrator (828)681-0904 3864 Sweeten Creek Road Fax: (828)681-1671 Arden, NC 28704- Lic No: NH0575 Provider: 345477 (SNF # 100)(ACH # 14) BURKE Autumn Care of Drexel Amanda S Carswell, Administrator 307 Oakland Avenue; P O Box 1278 Drexel, NC 28619 Lic No: NH0347 Provider: 345222 Carolina Rehab Center of Burke Sharon Whitlock, Administrator 3647 Miller Bridge Road Connelly Springs, NC 28612- Lic No: NH0610 Provider: 345526 College Pines Health and Rehab Center Jackie M Pittman, Administrator (828)874-6800 P O Box 250 Fax: (828)874-6803 Valdese, NC 28690-0250 Lic No: NH0553 Provider: 345446 (SNF # 100)(ACH # 4) Grace Heights Health and Rehabilitation Center Deborah H Morgan, Administrator (828)580-7000 109 Foothills Drive Fax: (828)580-7009 Morganton, NC 28655 Lic No: NH0408 Provider: 345187 (SNF # 120)(ACH # 0) Grace Ridge Brenda Yost, Administrator (828)580-8300 500 Lenoir Road Fax: (828)580-8309 Morganton, NC 28655-9919 Lic No: NH0476 Provider: none (SNF # 25)(ACH # 47) Magnolia Lane Nursing and Rehabilitation Center William K Thompson, Administrator 107 Magnolia Drive (828)437-8760 Fax: (828)438-6698 Morganton, NC 28655-4599 Lic No: NH0343 Provider: 345219 (SNF # 121)(ACH # 0) CABARRUS Avante at Concord Cindy A Pittmon, Administrator 515 Lake Concord Road Concord, NC 28025-2925 Lic No: NH0179 Provider: 345130 (828)433-6180 Fax: (828)433-6672 (SNF # 100)(ACH # 20) (828)397-3144 Fax: (828)397-2349 (SNF # 90)(ACH # 0) (704)784-4494 Fax: (704)784-9669 (SNF # 120)(ACH # 0) report 'nhlistco' 3

CABARRUS Brian Center Health & Retirement/Cabarrus Stewart R Reed, Administrator (704)788-6400 250 Bishop Lane Fax: (704)788-6403 Concord, NC 28025-2888 Lic No: NH0498 Provider: 345362 (SNF # 90)(ACH # 0) CALDWELL Lenoir Healthcare Center Nancy B Greene, Administrator 322 Nuway Circle Lenoir, NC 28645-0000 Lic No: NH0407 Provider: 345138 (828)758-7326 Fax: (828)757-0938 (SNF # 120)(ACH # 0) Five Oaks Manor John Wall, Administrator (704)788-2131 413 Winecoff School Road Fax: (704)786-1557 Concord, NC 28027-0384 Lic No: NH0027 Provider: 345186 (SNF # 160)(ACH # 24) Shaire Nursing Center Michael J Haire, Administrator PO Box 668 Hudson, NC 28638- Lic No: NH0578 Provider: 345483 (828)728-4673 Fax: (828)728-0878 (SNF # 60)(ACH # 0) PruittHealth-Town Center Tammy A Hanna, Administrator (704)455-5553 6300 Roberta Road Fax: (704)455-5679 Harrisburg, NC 28075- Lic No: NH0604 Provider: 345515 (SNF # 70)(ACH # 0) The Gardens of Taylor Glen Retirement Community Miriam S Stermer, Administrator (704)788-6510 3700 Taylor Glen Lane Fax: (704)788-6508 Concord, NC 28027- Lic No: NH0607 Provider: 345525 (SNF # 24)(ACH # 24) Transitional Health Services of Kannapolis Wayne H Mayo, Administrator (704)933-3781 1810 Concord Lake Road Fax: (704)933-5002 Kannapolis, NC 28083-6434 Lic No: NH0453 Provider: 345258 (SNF # 107)(ACH # 5) Universal Health Care and Rehabilitation Center Kimberly S Mooneyham, Administrator (704)788-4115 430 Brookwood Avenue, NE Fax: (704)788-6331 Concord, NC 28025-0748 Lic No: NH0247 Provider: 345183 (SNF # 120)(ACH # 0) CALDWELL Gateway Rehabilitation and Healthcare Joetta L Madsen, Administrator (828)754-3888 2030 Harper Avenue Northwest Fax: (828)754-4068 Lenoir, NC 28645-4953 Lic No: NH0485 Provider: 345329 (SNF # 100)(ACH # 18) Hickory Falls Health and Rehabilitation Jennifer L Robinson, Administrator (828)396-2387 100 Sunset Street Fax: (828)396-9578 Granite Falls, NC 28630-0448 Lic No: NH0380 Provider: 345246 (SNF # 120)(ACH # 0) CARTERET Croatan Ridge Nursing and Rehabilitation Center Ashley Neenan, Administrator (252)223-2560 210 Foxhall Rd. Fax: (252)223-4208 Newport, NC 28570- Lic No: NH0583 Provider: 345491 (SNF # 64)(ACH # 0) Crystal Bluffs Rehabilitation and Health Care Center Jennifer Salter, Administrator (252)726-0031 4010 Bridges Street Extension Fax: (252)726-5831 Morehead City, NC 28557- Lic No: NH0227 Provider: 345170 (SNF # 92)(ACH # 0) Harborview Health Care Center Chase A Flowers, Administrator 812 Shepard Street Morehead City, NC 28557 Lic No: NH0255 Provider: 345244 PruittHealth-SeaLevel Ashton W Bone, Administrator 468 Highway 70 East Sea Level, NC 28577 Lic No: NH0600 Provider: 345182 Snug Harbor on Nelson Bay Rose Tankard, Administrator 272 Highway 70; P O Box 150 Sea Level, NC 28577- Lic No: NH0202 Provider: 345521 (252)726-6855 Fax: (252)808-2074 (SNF # 122)(ACH # 0) (252)225-4611 Fax: (252)225-1228 (SNF # 104)(ACH # 0) (252)225-4411 Fax: (252)225-1670 (SNF # 42)(ACH # 50) CASWELL Brian Center Health & Rehabilitation/Yanceyville H Sue Rawls, Administrator (336)694-5916 PO Box 1508 Fax: (336)694-7475 Yanceyville, NC 27379-2006 Lic No: NH0434 Provider: 345265 (SNF # 157)(ACH # 0) report 'nhlistco' 4

CATAWBA Abernethy Laurels Ashley N Sigmon, Administrator (828)464-8260 102 Leonard Avenue Fax: (828)465-8636 Newton, NC 28658-0102 Lic No: NH0191 Provider: 345161 (SNF # 174)(ACH # 18) CHATHAM The Arbor Heidi S O'Neal, Administrator (919)545-2660 3000 Galloway Ridge Road Fax: (919)545-2662 Pittsboro, NC 27312-8639 Lic No: NH0619 Provider: 345539 (SNF # 40)(ACH # 51) Brian Center Health & Rehabilitation/Hickory East Susan Nelson, Administrator (828)322-3343 3031 Tate Boulevard, SE Fax: (828)322-6023 Hickory, NC 28602 Lic No: NH0337 Provider: 345232 (SNF # 150)(ACH # 20) Brian Center Health and Rehabilitation Hickory/Viewmont Ashley J Rader, Administrator (828)328-5646 220 13th Ave. Place NW Fax: (828)328-6189 Hickory, NC 28601- Lic No: NH0409 Provider: 345080 (SNF # 104)(ACH # 0) Conover Nursing and Rehabilitation Center Todd Roper, Administrator (828)695-8282 P.O. Box 1718 Fax: (828)468-5188 Conover, NC 28613-1718 Lic No: NH0603 Provider: 345516 (SNF # 90)(ACH # 0) Trinity Ridge Tonya Hilliard, Administrator 2140 Medical Park Drive Hickory, NC 28602- Lic No: NH0162 Provider: 345106 Trinity Village Amber T McIntosh, Administrator 1265 21st Street, NE Hickory, NC 28601- Lic No: NH0068 Provider: 345152 CHATHAM Carolina Meadows Health Center Adam T Melton, Administrator 500 Carolina Meadows Chapel Hill, NC 27517-8505 Lic No: NH0490 Provider: None Siler City Center April L Mayberry, Administrator 900 West Dolphin Street; P O Box 789 Siler City, NC 27344-0789 Lic No: NH0395 Provider: 345143 (828)322-6995 Fax: (828)294-6003 (SNF # 120)(ACH # 0) (828)328-2006 Fax: (828)327-0512 (SNF # 104)(ACH # 90) (919)942-4014 Fax: (919)932-9074 (SNF # 90)(ACH # 0) (919)663-3431 Fax: (919)663-5785 (SNF # 150)(ACH # 0) The Laurels of Chatham John R Jarrell, Administrator 72 Chatham Business Park (919)542-6677 Fax: (919)542-1803 Pittsboro, NC 27312-9726 Lic No: NH0523 Provider: 345421 (SNF # 140)(ACH # 0) CHEROKEE Valley View Care and Rehabilitation Center Timothy F McEntire, Administrator 551 Kent Street Andrews, NC 28901-8088 Lic No: NH0535 Provider: 345426 (828)321-3075 Fax: (828)321-3196 (SNF # 76)(ACH # 0) CHOWAN Chowan River Nursing and Rehabilitation Center Dianne C Nixon, Administrator 1341 Paradise Road; P O Box 566 (252)482-7481 Fax: (252)482-4494 Edenton, NC 27932-0566 Lic No: NH0369 Provider: 345164 (SNF # 130)(ACH # 0) CLAY Clay County Care Center Scott D Alexander, Administrator 86 Valley Hideaway Drive Hayesville, NC 28904 Lic No: NH0542 Provider: 345433 CLEVELAND Cleveland Pines Charlotte F Young, Administrator 1404 North Lafayette Street Shelby, NC 28150-3498 Lic No: NH0524 Provider: 345282 (828)389-9941 Fax: (828)389-3712 (SNF # 90)(ACH # 10) (980)487-1500 Fax: (980)487-1550 (SNF # 120)(ACH # 0) Peak Resources-Shelby Shonda Wingate, Administrator (704)482-5396 1101 North Morgan Street; P O Box 2287 Fax: (704)482-5823 Shelby, NC 28150-3848 Lic No: NH0405 Provider: 345229 (SNF # 100)(ACH # 0) White Oak Manor-Kings Mountain Crystal C Lombardo, Administrator (704)739-8132 716 Sipes Street; P O Box 578 Fax: (704)739-8133 Kings Mountain, NC 28086-0578 Lic No: NH0396 Provider: 345151 (SNF # 154)(ACH # 0) report 'nhlistco' 5

CLEVELAND CRAVEN White Oak Manor-Shelby Riverpoint Crest Nursing and Rehabilitation Center Sonia A Crisp, Administrator (704)482-7326 Paul Stockett, Administrator (252)637-4730 401 North Morgan Street; P O Box 790 Fax: (704)487-7193 P.O. Box 3397 Fax: (252)637-0289 Shelby, NC 28150-4434 New Bern, NC 28564-3397 Lic No: NH0398 Provider: 345171 (SNF # 160)(ACH # 0) Lic No: NH0344 Provider: 345211 (SNF # 105)(ACH # 18) COLUMBUS Liberty Commons Nursing and Rehab Ctr of Columbus Cty Alicia Jordan-Greene, Administrator (910)642-4245 1402 Pinckney Street Fax: (910)642-7187 Whiteville, NC 28472- Lic No: NH0283 Provider: 345207 (SNF # 107)(ACH # 40) CUMBERLAND Autumn Care of Fayetteville James V Caligiuri, Administrator PO Box 26300 Fayetteville, NC 28314-9999 Lic No: NH0629 Provider: 345553 (910)867-4960 Fax: (910)867-4980 (SNF # 90)(ACH # 0) Premier Living and Rehab Center Linda B Parnell, Administrator 106 Cameron Street Lake Waccamaw, NC 28450-0196 Lic No: NH0246 Provider: 345185 (910)646-3132 Fax: (919)646-4071 (SNF # 127)(ACH # 15) Bethesda Health Care Facility Caroline Horne, Administrator 3532 Dunn Road Eastover, NC 28312- Lic No: NH0254 Provider: 345212 (910)323-3223 Fax: (910)321-6084 (SNF # 85)(ACH # 0) Shoreland Health Care and Retirement Center Inc Joseph M Hooks III, Administrator (910)642-4300 200 Flowers-Pridgen Drive Fax: (910)642-4405 Whiteville, NC 28472-9135 Lic No: NH0510 Provider: 345397 (SNF # 89)(ACH # 10) CRAVEN Bayview Nursing & Rehabilitation Center Betty A Barnett, Administrator (252)638-1818 3003 Kensington Park Drive Fax: (252)638-9308 New Bern, NC 28560-4401 Lic No: NH0567 Provider: 345465 (SNF # 60)(ACH # 12) Cherry Point Bay Nursing and Rehabilitation Center Courtney Collier, Administrator (252)444-4631 110 McCotter Blvd. Fax: (252)444-5831 Havelock, NC 28532- Lic No: NH0579 Provider: 345487 (SNF # 70)(ACH # 0) PruittHealth-Neuse Justin Dixon, Administrator 1303 Health Drive New Bern, NC 28560- Lic No: NH0496 Provider: 345357 PruittHealth-Trent Wendy M Stroud, Administrator 836 Hospital Drive New Bern, NC 28560-3445 Lic No: NH0311 Provider: 345371 (252)634-2560 Fax: (381)485-8001 (SNF # 110)(ACH # 0) (252)638-6001 Fax: (252)638-9304 (SNF # 116)(ACH # 0) Carolina Rehab Center of Cumberland Elizabeth C Englund, Administrator (910)429-1690 4600 Cumberland Road Fax: (910)429-1710 Fayetteville, NC 28306-2412 Lic No: NH0593 Provider: 345505 (SNF # 136)(ACH # 0) Cumberland Nursing and Rehabilitation Center James L Souter IV, Administrator (910)424-9417 2461 Legion Road Fax: (910)425-3165 Fayetteville, NC 28306- Lic No: NH0501 Provider: 345376 (SNF # 120)(ACH # 0) Golden Years Nursing Home Melissa Godwin, Administrator (910)980-1271 PO BOX 40 Fax: (910)980-1141 Falcon, NC 28342- Lic No: NH0076 Provider: 345367 (SNF # 58)(ACH # 0) Haymount Rehabilitation & Nursing Center Inc Cheryl N Geddie, Administrator (910)689-0150 2346 Barrington Circle Fax: (910)689-0160 Fayetteville, NC 28303- Lic No: NH0454 Provider: 345414 (SNF # 98)(ACH # 22) Highland House Rehabilitation and Healthcare Lisa R Burkhart, Administrator (910)488-2295 P O Box 35887 Fax: (910)488-0776 Fayetteville, NC 28303-5887 Lic No: NH0117 Provider: 345353 (SNF # 106)(ACH # 53) report 'nhlistco' 6

CUMBERLAND NC State Veterans Home-Fayetteville Whitney R Bell, Administrator (910)482-4131 214 Cochran Avenue Fax: (910)822-0979 Fayetteville, NC 28301- Lic No: NH0585 Provider: 345492 (SNF # 150)(ACH # 0) DAVIDSON Avante at Thomasville Van Bergstrom, Administrator (336)472-7771 1028 Blair Street Fax: (336)472-8197 Thomasville, NC 27360-4398 Lic No: NH0292 Provider: 345520 (SNF # 120)(ACH # 0) The Rehabilitation and Health Care Ctr at Village Green Roger J Ciokan, Administrator (910)486-5000 1601 Purdue Drive Fax: (910)485-6388 Fayetteville, NC 28304-3674 Lic No: NH0502 Provider: 345380 (SNF # 170)(ACH # 0) Whispering Pines Nursing & Rehabilitation Center Michelle H Fontaine, Administrator (910)488-0711 523 Country Club Drive Fax: (910)488-8301 Fayetteville, NC 28301-7613 Lic No: NH0001 Provider: 345348 (SNF # 86)(ACH # 2) Woodlands Nursing & Rehabilitation Center Annette P Webster, Administrator 44 McNeill's Plaza Whiteville, NC 28472- Lic No: NH0577 Provider: 34-5481 (910)822-0515 Fax: (910)822-0535 (SNF # 80)(ACH # 20) Brian Center Nursing Care/Lexington James R Detter, Administrator (336)249-7521 279 Brian Center Lane Fax: (336)243-1175 Lexington, NC 27292- Lic No: NH0010 Provider: 345011 (SNF # 106)(ACH # 0) Lexington Health Care Center Kevin Walsh, Administrator (336)242-1349 17 Cornelia Drive Fax: (336)242-1380 Lexington, NC 27292-4133 Lic No: NH0527 Provider: 345419 (SNF # 90)(ACH # 10) Mountain Vista Health Park Priscilla A Vint, Administrator (336)859-2181 Post Office Box 1547 Fax: (336)859-4053 Denton, NC 27239-1547 Lic No: NH0259 Provider: 345196 (SNF # 60)(ACH # 60) CURRITUCK Sentara Nursing Center-Currituck Rhonda S Rouse, Administrator 3907 Caratoke Hwy; P O Box 119 Barco, NC 27917-0226 Lic No: NH0445 Provider: 345289 DARE Peak Resources-Outer Banks Brian Hill, Administrator 430 West Health Center Drive Nags Head, NC 27959-8943 Lic No: NH0372 Provider: 345226 DAVIDSON Abbotts Creek Center Russell T Reid, Administrator 877 Hill Everhart Rd. Lexington, NC 27295- Lic No: NH0099 Provider: 345333 Alston Brook Jeffery L Lowman, Administrator 4748 Old Salisbury Rd. Lexington, NC 27295- Lic No: NH0094 Provider: 345066 (252)457-0500 Fax: (252)457-0501 (SNF # 100)(ACH # 0) (252)441-3116 Fax: (252)441-0247 (SNF # 126)(ACH # 18) (336)248-6644 Fax: (336)248-3113 (SNF # 64)(ACH # 0) (336)956-1132 Fax: (336)956-3112 (SNF # 100)(ACH # 0) Piedmont Crossing Douglas P Russell, Administrator (336)472-2017 100 Hedrick Drive Fax: (336)474-3895 Thomasville, NC 27360-6000 Lic No: NH0390 Provider: 345310 (SNF # 114)(ACH # 20) Pine Ridge Health and Rehabilitation Center JoAnn L Gibbs, Administrator (336)475-9116 706 Pineywood Road Fax: (336)475-9120 Thomasville, NC 27360-2799 Lic No: NH0187 Provider: 345144 (SNF # 140)(ACH # 14) DAVIE Autumn Care of Mocksville Darin Asbill, Administrator (336)751-3535 1007 Howard Street Fax: (336)751-0028 Mocksville, NC 27028-0527 Lic No: NH0221 Provider: 345129 (SNF # 96)(ACH # 12) Bermuda Commons Nursing and Rehabilitation Center Jessica Proctor-Mccollum, Administrator (336)998-0240 316 NC Hwy. 801 South Fax: (336)998-0243 Advance, NC 27006-7647 Lic No: NH0560 Provider: 345543 (SNF # 117)(ACH # 10) report 'nhlistco' 7

DAVIE Bermuda Village Retirement Center Don G Angell Jr, Administrator (336)998-6112 142 Bermuda Village Drive Fax: (336)940-2140 Bermuda Run, NC 27006-9404 Lic No: NH0519 Provider: 345416 (SNF # 15)(ACH # 21) DURHAM Hillcrest Convalescent Center Inc Thomas Smith, Administrator (919)286-7705 1417 West Pettigrew Street Fax: (919)286-3772 Durham, NC 27705- Lic No: NH0038 Provider: 345001 (SNF # 120)(ACH # 34) DUPLIN Brian Center Health & Rehabilitation/Wallace Lisa Scheu, Administrator (910)285-9700 647 South Railroad Street Fax: (910)285-5156 Wallace, NC 28466-0447 Lic No: NH0481 Provider: 345323 (SNF # 80)(ACH # 0) Kenansville Health & Rehabiiltation Center Cheryl A Smith, Administrator (910)296-1561 209 Beasley Street Fax: (910)296-1016 Kenansville, NC 28349-0430 Lic No: NH0308 Provider: 345150 (SNF # 92)(ACH # 0) Warsaw Health & Rehabilitation Center Ingrid L Houston, Administrator (910)293-3144 214 Lanefield Road Fax: (910)293-4424 Warsaw, NC 28398-9510 Lic No: NH0418 Provider: 345252 (SNF # 100)(ACH # 0) DURHAM Brian Center Health and Rehabilitation/Durham Donald B Joseph, Administrator (919)544-9021 6000 Fayetteville Road Fax: (919)544-0345 Durham, NC 27713-9754 Lic No: NH0514 Provider: 345408 (SNF # 140)(ACH # 0) Carver Living Center Heather McLamb, Administrator (919)471-3558 303 East Carver Street Fax: (919)477-5133 Durham, NC 27704-5729 Lic No: NH0543 Provider: 345434 (SNF # 232)(ACH # 20) Croasdaile Village Angela M Wynne, Administrator (919)384-2516 2600 Croasdaile Farm Parkway Fax: (919)384-2503 Durham, NC 27705- Lic No: NH0587 Provider: 345501 (SNF # 110)(ACH # 0) Durham Nursing & Rehabilitation Center Michelle T Baldwin, Administrator (919)383-5521 411 South Lasalle Street Fax: (919)383-8580 Durham, NC 27705-3799 Lic No: NH0136 Provider: 345070 (SNF # 126)(ACH # 0) Kindred Transitional Care and Rehab-Rose Manor Fred Collins, Administrator 4230 North Roxboro Road (919)477-9805 Fax: (919)479-5261 Durham, NC 27704-1987 Lic No: NH0152 Provider: 345081 (SNF # 111)(ACH # 0) Peak Resources-Treyburn Teresa Ralph, Administrator 2059 Torredge Road Durham, NC 27712- Lic No: NH0562 Provider: 345458 Pettigrew Rehabilitation Center Michael McMorris Jr, Administrator 1515 West Pettigrew Street Durham, NC 27705- Lic No: NH0119 Provider: 345053 PruittHealth-Durham Laurence Celeste, Administrator 3100 Erwin Road Durham, NC 27705- Lic No: NH0412 Provider: 345061 The Cedars of Chapel Hill Sara S Flynn-Loy, Administrator 100 Cedar Club Circle Chapel Hill, NC 27517- Lic No: NH0615 Provider: 345533 The Forest at Duke Leslie C Jarema, Administrator 2701 Pickett Road Durham, NC 27705-5610 Lic No: NH0536 Provider: 345542 (919)477-4474 Fax: (919)471-0967 (SNF # 132)(ACH # 0) (919)286-0751 Fax: (919)286-2411 (SNF # 96)(ACH # 0) (919)383-1546 Fax: (919)383-0862 (SNF # 125)(ACH # 0) (919)259-7903 Fax: (919)259-7943 (SNF # 44)(ACH # 4) (919)490-8000 Fax: (919)419-4018 (SNF # 58)(ACH # 34) EDGECOMBE Golden LivingCenter-Tarboro Effie E Webb, Administrator (252)823-0401 1000 Western Boulevard Fax: (252)823-1819 Tarboro, NC 27886-4017 Lic No: NH0288 Provider: 345195 (SNF # 159)(ACH # 0) report 'nhlistco' 8

EDGECOMBE Prodigy Transitional Rehab Robert Vernon, Administrator P.O. Box 400 Tarboro, NC 27886- Lic No: NH0327 Provider: 345510 (252)823-2041 Fax: (252)823-0904 (SNF # 118)(ACH # 0) FORSYTH Piney Grove Nursing and Rehabilitation Center Kristi S Baker, Administrator (336)996-4038 728 Piney Grove Road Fax: (336)996-0644 Kernersville, NC 27284-0335 Lic No: NH0256 Provider: 345354 (SNF # 92)(ACH # 0) The Fountains at The Albemarle Diane S Barlow, Administrator 200 Trade Street Tarboro, NC 27886-5029 Lic No: NH0352 Provider: 345242 (252)823-2799 Fax: (252)823-6555 (SNF # 30)(ACH # 56) PruittHealth-High Point Mandy P Acevedo, Administrator (336)869-3524 3830 North Main Street Fax: (336)869-7498 High Point, NC 27265-1126 Lic No: NH0021 Provider: 345105 (SNF # 100)(ACH # 0) FORSYTH Arbor Acres United Methodist Retirement Community Inc Kathy Gwyn, Administrator (336)724-7921 1250 Arbor Road Fax: (336)721-1042 Winston Salem, NC 27104-1197 Lic No: NH0378 Provider: None (SNF # 63)(ACH # 102) Brian Center Health & Retirement/Winston Salem Garrett R Keener, Administrator (336)744-5674 4911 Brian Center Lane Fax: (336)744-7569 Winston-Salem, NC 27106-6423 Lic No: NH0266 Provider: 345149 (SNF # 40)(ACH # 40) Brookridge Retirement Community William E Wood, Administrator (336)759-1044 1199 Hayes Forest Drive Fax: (336)759-9276 Winston Salem, NC 27106- Lic No: NH0067 Provider: 345209 (SNF # 77)(ACH # 36) Homestead Hills Raymond E Cooper III, Administrator (336)659-0386 2105 Homestead Hills Drive Fax: (336)659-8506 Winston Salem, NC 27103- Lic No: NH0633 Provider: 345559 (SNF # 40)(ACH # 0) Liberty Commons Nsg & Rehab Ctr of Springwood John Sexton, Administrator (336)767-2750 5755 Shattalon Drive Fax: (336)767-3862 Winston Salem, NC 27105-1332 Lic No: NH0423 Provider: 345039 (SNF # 200)(ACH # 0) Oak Forest Health and Rehabilitation Kevin V Tuttle, Administrator (336)776-5000 5680 Windy Hill Drive Fax: (336)776-9401 Winston Salem, NC 27105 Lic No: NH0548 Provider: 345443 (SNF # 170)(ACH # 0) Regency Care of Clemmons Joyce C Denham, Administrator (336)766-9158 PO Box 249, 3905 Clemmons Road Fax: (336)766-8666 Clemmons, NC 27012-0249 Lic No: NH0404 Provider: 345131 (SNF # 120)(ACH # 0) Salemtowne James T Matthews II, Administrator (336)767-8130 1000 Salemtowne Drive Fax: (336)767-4090 Winston Salem, NC 27106- Lic No: NH0154 Provider: 345479 (SNF # 84)(ACH # 46) Silas Creek Rehabilitation Center Jason R Lindsey, Administrator (336)765-0550 3350 Silas Creek Parkway Fax: (336)765-9508 Winston Salem, NC 27103-3071 Lic No: NH0203 Provider: 345003 (SNF # 90)(ACH # 0) The Oaks Susan Hollett, Administrator (336)768-2211 901 Bethesda Road Fax: (336)774-6545 Winston Salem, NC 27103-3023 Lic No: NH0439 Provider: 345284 (SNF # 151)(ACH # 0) Trinity Elms Mary B Coughenour, Administrator (336)747-1153 7449 Fair Oaks Drive Fax: (336)293-4592 Clemmons, NC 27012- Lic No: NH0641 Provider: 345565 (SNF # 100)(ACH # 0) Trinity Glen Cynthia McCoy, Administrator (336)595-2166 849 Waterworks Road Fax: (336)595-2169 Winston-Salem, NC 27101- Lic No: NH0058 Provider: 345088 (SNF # 117)(ACH # 0) Winston Salem Nursing & Rehabilitation Center Veronica M Wagner, Administrator (336)724-2821 1900 West First Street Fax: (336)725-8314 Winston Salem, NC 27104-4240 Lic No: NH0125 Provider: 345092 (SNF # 230)(ACH # 0) report 'nhlistco' 9

FRANKLIN Franklin Oaks Nursing and Rehabilitation Center Lynn Bullock, Administrator (919)496-7222 1704 NC Highway 39 North Fax: (919)496-1418 Louisburg, NC 27549 Lic No: NH0486 Provider: 345335 (SNF # 166)(ACH # 10) GASTON Gastonia Care and Rehabilitation Tanya Rocquemore, Administrator 416 North Highland Street Gastonia, NC 28052-2199 Lic No: NH0305 Provider: 345162 (704)864-0371 Fax: (704)853-3137 (SNF # 118)(ACH # 0) Louisburg Healthcare & Rehabilitation Center Cheryl Vermilyea, Administrator (919)496-2188 202 Smoketree Way; P O Box 629 Fax: (919)496-3364 Louisburg, NC 27549-0629 Lic No: NH0264 Provider: 345358 (SNF # 92)(ACH # 0) MeadowWood Nursing Center Kimberly Long, Administrator 4414 Wilkinson Boulevard Gastonia, NC 28056- Lic No: NH0468 Provider: 345307 (704)824-5550 Fax: (704)824-2026 (SNF # 50)(ACH # 0) GASTON Alexandria Place Cathy LL Almon, Administrator 1770 Oak Hollow Road Gastonia, NC 28054-1749 Lic No: NH0547 Provider: 345441 Belaire Health Care Center Aaron Loney, Administrator 2065 Lyon Street Gastonia, NC 28052- Lic No: NH0561 Provider: 345457 Brian Center Health and Rehabilitation/Gastonia Kimberly K Poovey, Administrator (704)866-8596 969 Cox Road Fax: (704)866-8677 Gastonia, NC 28054-3427 Lic No: NH0228 Provider: 345169 (SNF # 162)(ACH # 0) Carolina Care Center Judy B Beam, Administrator 111 Harrilson Road Cherryville, NC 28021-9541 Lic No: NH0287 Provider: 345255 (704)853-8175 Fax: (704)852-4045 (SNF # 60)(ACH # 40) (704)867-7300 Fax: (704)867-3939 (SNF # 80)(ACH # 0) (704)435-4161 Fax: (704)435-8979 (SNF # 107)(ACH # 12) Peak Resources-Cherryville Cheryl Mikell, Administrator 7615 Dallas Cherryville Highway Cherryville, NC 28021- Lic No: NH0403 Provider: 345395 Peak Resources-Gastonia Lydia R Alexander, Administrator 2780 X-Ray Drive Gastonia, NC 28054-7486 Lic No: NH0402 Provider: 345494 Stanley Total Living Center Inc Jennifer Defelice, Administrator P.O. Box 489 Stanley, NC 28164-2046 Lic No: NH0386 Provider: 345264 (704)435-6029 Fax: (704)435-8820 (SNF # 54)(ACH # 57) (704)861-0981 Fax: (704)861-0388 (SNF # 120)(ACH # 0) (704)263-1986 Fax: (704)263-8959 (SNF # 106)(ACH # 24) GATES Down East Health and Rehabilitation Center Pamela Harvey, Administrator (252)357-2124 38 Carters Road Fax: (252)357-1436 Gatesville, NC 27938-9302 Lic No: NH0513 Provider: 345406 (SNF # 70)(ACH # 10) Courtland Terrace Dennis R Carver, Administrator 2300 Aberdeen Boulevard Gastonia, NC 28054-0613 Lic No: NH0494 Provider: 345350 Covenant Village Inc Thomas P Hauer, Administrator 1351 Robinwood Road Gastonia, NC 28054 Lic No: NH0332 Provider: None (704)834-4800 Fax: (704)834-4812 (SNF # 77)(ACH # 19) (704)867-2319 Fax: (704)854-8738 (SNF # 38)(ACH # 42) GRAHAM Graham Healthcare and Rehabilitation Center Donna O Stephens, Administrator (828)479-8421 811 Snowbird Road; P O Box 1147 Fax: (828)479-4269 Robbinsville, NC 28771-1147 Lic No: NH0495 Provider: 345355 (SNF # 80)(ACH # 23) GRANVILLE Universal Health Care/Oxford Charles E Sharpe, Administrator (919)693-1531 500 Prospect Avenue Fax: (919)693-0632 Oxford, NC 27565 Lic No: NH0447 Provider: 345291 (SNF # 160)(ACH # 20) report 'nhlistco' 10

GREENE Greendale Forest Nursing and Rehabilitation Center Charles F Hall Jr, Administrator (252)747-8126 1304 South East Second Street Fax: (252)747-8255 Snow Hill, NC 28580-2099 Lic No: NH0373 Provider: 345366 (SNF # 115)(ACH # 17) GUILFORD Friends Homes at Guilford Tim Jackson, Administrator 925 New Garden Rd. Greensboro, NC 27410-3299 Lic No: NH0190 Provider: 345148 (336)292-8187 Fax: (336)854-9137 (SNF # 69)(ACH # 60) GUILFORD Adams Farm Living & Rehabilitation Patricia C Anderson, Administrator (336)855-5596 5100 Mackay Road Fax: (336)855-5590 Jamestown, NC 27282-9761 Lic No: NH0581 Provider: 345535 (SNF # 120)(ACH # 0) Ashton Place Health & Rehab Howard Staples, Administrator 5533 Burlington Road Mcleansville, NC 27301-9622 Lic No: NH0625 Provider: 345548 Blumenthal Nursing & Rehabilitation Center Karen A Fowler, Administrator (336)540-9991 3724 Wireless Drive Fax: (336)540-9416 Greensboro, NC 27455- Lic No: NH0135 Provider: 345006 (SNF # 134)(ACH # 20) Camden Place Health & Rehab LLC Kelli A Moody, Administrator 1 Marithe Ct. Greensboro, NC 27407-2702 Lic No: NH0624 Provider: 345547 Clapps Nursing Center Inc Cheryl Clapp-Coleman, Administrator 5229 Appomatox Rd. Pleasant Garden, NC 27313-8202 Lic No: NH0017 Provider: 345024 Countryside Manor Inc Ruth W Finch, Administrator P O Box 829 Stokesdale, NC 27357-9398 Lic No: NH0226 Provider: 345390 Friends Homes West Donna B Sprinkle, Administrator 6100 West Friendly Avenue Greensboro, NC 27410-4008 Lic No: NH0554 Provider: 345474 (336)698-0045 Fax: (336)698-0993 (SNF # 134)(ACH # 0) (336)852-9700 Fax: (336)852-9994 (SNF # 135)(ACH # 0) (336)674-2252 Fax: (336)674-9531 (SNF # 118)(ACH # 0) (336)643-6301 Fax: (336)643-9906 (SNF # 60)(ACH # 16) (336)292-9952 Fax: (336)294-0129 (SNF # 40)(ACH # 40) Golden LivingCenter-Greensboro Gina M Markwell, Administrator 1201 Carolina Street Greensboro, NC 27401-1303 Lic No: NH0275 Provider: 345014 Golden LivingCenter-Starmount Mary E Gunter, Administrator 109 South Holden Road Greensboro, NC 27407-1319 Lic No: NH0274 Provider: 345116 Greenhaven Health and Rehabilitation Center Sharon Huneycutt, Administrator (336)292-8371 801 Greenhaven Drive Fax: (336)299-8414 Greensboro, NC 27406-7103 Lic No: NH0368 Provider: 345132 (SNF # 120)(ACH # 0) Guilford Health Care Center Lynn A Lancaster, Administrator 2041 Willow Road Greensboro, NC 27406- Lic No: NH0564 Provider: 345460 Heartland Living & Rehab @ The Moses H Cone Mem Hosp Sherri Ingram-Bass, Administrator (336)358-5100 1131 North Church Street Fax: (336)358-5110 Greensboro, NC 27401- Lic No: NH0601 Provider: 345391 (SNF # 107)(ACH # 37) Maple Grove Health and Rehabilitation Center Ivy D Pearson, Administrator (336)230-0534 308 West Meadowview Road Fax: (336)230-1664 Greensboro, NC 27406 Lic No: NH0552 Provider: 345448 (SNF # 210)(ACH # 40) Maryfield Nursing Home Vonda H Hollingsworth, Administrator 109 Penny Road High Point, NC 27260 Lic No: NH0005 Provider: 345093 Meridian Center Alyce E Hopping, Administrator 707 North Elm Street High Point, NC 27262-3817 Lic No: NH0389 Provider: 345172 (336)275-0751 Fax: (336)275-6463 (SNF # 105)(ACH # 0) (336)292-5390 Fax: (336)852-5479 (SNF # 126)(ACH # 0) (336)272-9700 Fax: (336)274-5924 (SNF # 110)(ACH # 0) (336)821-4000 Fax: (336)886-4036 (SNF # 125)(ACH # 36) (336)885-0141 Fax: (336)885-2989 (SNF # 199)(ACH # 0) report 'nhlistco' 11

GUILFORD River Landing at Sandy Ridge Tiffany D Roberson, Administrator (336)668-4900 1575 John Knox Drive Fax: (336)668-4911 Colfax, NC 27235-9662 Lic No: NH0612 Provider: 345528 (SNF # 60)(ACH # 56) HALIFAX Signature HealthCARE of Roanoke Rapids Alicia Barnes, Administrator (252)537-6181 305 Fourteenth Street Fax: (252)535-5132 Roanoke Rapids, NC 27870-4497 Lic No: NH0312 Provider: 345336 (SNF # 108)(ACH # 0) The Shannon Gray Rehabilitation & Recovery Center Christopher D Dunn, Administrator (336)307-4729 2005 Shannon Gray Court Fax: (336)307-4961 Jamestown, NC 27282- Lic No: NH0627 Provider: 345552 (SNF # 150)(ACH # 0) Well-Spring Misti Byler, Administrator (336)545-5400 3560 Wildflower Drive Fax: (336)545-5384 Greensboro, NC 27410 Lic No: NH0546 Provider: None (SNF # 60)(ACH # 72) Westchester Manor at Providence Place James A Newman, Administrator (336)884-2222 1795 Westchester Drive Fax: (336)888-4645 High Point, NC 27262- Lic No: NH0155 Provider: 345090 (SNF # 129)(ACH # 0) WhiteStone: A Masonic and Eastern Star Community Dianne Armstrong, Administrator (336)299-0031 700 South Holden Road Fax: (336)547-2999 Greensboro, NC 27407-2399 Lic No: NH0141 Provider: 345506 (SNF # 88)(ACH # 12) HALIFAX Enfield Oaks Nursing and Rehabilitation Center Brandi W Lassister, Administrator (252)445-2111 208 Cary Street Fax: (252)445-1924 Enfield, NC 27823-0456 Lic No: NH0037 Provider: 345101 (SNF # 63)(ACH # 0) Liberty Commons Nsg and Rehab Ctr of Halifax County Dain H Simpson, Administrator (252)536-4817 101 Caroline Avenue Fax: (252)536-5560 Weldon, NC 27890- Lic No: NH0469 Provider: 345309 (SNF # 50)(ACH # 25) Scotland Manor Health Care Center Kimberly A Stallings, Administrator (252)826-5146 920 Junior High School Road Fax: (252)826-3067 Scotland Neck, NC 27874-0450 Lic No: NH0314 Provider: 345375 (SNF # 62)(ACH # 0) HARNETT Cornerstone Nursing and Rehabilitation Center Alan D Wrench, Administrator (910)892-8843 PO Box 948 Fax: (910)892-3690 Dunn, NC 28334- Lic No: NH0482 Provider: 345325 (SNF # 100)(ACH # 8) Emerald Health & Rehab Center Brian D Joiner, Administrator (910)814-8030 54 Red Mulberry Way Fax: (910)814-8031 Lillington, NC 27546- Lic No: NH0144 Provider: 345173 (SNF # 96)(ACH # 0) Harnett Woods Nursing and Rehabilitation Center Ida Trogdon, Administrator (910)891-4600 PO Box 1597 Fax: (910)891-4903 Dunn, NC 28335- Lic No: NH0576 Provider: 345478 (SNF # 100)(ACH # 0) Universal Health Care Lillington Felton B Wooten, Administrator (910)893-5141 1995 E Cornelius Harnett Blvd Fax: (910)893-4595 Lillington, NC 27546 Lic No: NH0444 Provider: 345213 (SNF # 129)(ACH # HAYWOOD Autumn Care of Waynesville David G Woodlief, Administrator (828)456-7381 P.O. Box 330 Fax: (828)452-5930 Waynesville, NC 28786- Lic No: NH0366 Provider: 345110 (SNF # 90)(ACH # 10) Brian Center Health and Rehabilitation/Waynesville Jerry G Horne, Administrator (828)452-3154 516 Wall Street Fax: (828)452-1780 Waynesville, NC 28786-3861 Lic No: NH0520 Provider: 345411 (SNF # 90)(ACH # 5) Maggie Valley Nursing and Rehabilitation Brenda K Silvers, Administrator (828)566-3002 75 Fisher Loop Fax: (828)566-3005 Maggie Valley, NC 28751- Lic No: NH0081 Provider: 345102 (SNF # 114)(ACH # 0) report 'nhlistco' 12

HAYWOOD Silver Bluff LLC Bob Leatherwood, Administrator (828)648-2044 100 Silver Bluff Drive Fax: (828)648-2065 Canton, NC 28716 Lic No: NH0458 Provider: 345341 (SNF # 131)(ACH # 13) HENDERSON The Laurels of Hendersonville George M Rallis, Administrator 290 Clear Creek Road Hendersonville, NC 28792-2438 Lic No: NH0480 Provider: 345322 (828)692-6000 Fax: (828)696-9246 (SNF # 100)(ACH # 20) Smoky Mountain Health and Rehabilitation Center William E Grinwis, Administrator (828)454-9260 1349 Crabtree Road Fax: (828)454-6995 Waynesville, NC 28785- Lic No: NH0342 Provider: 345396 (SNF # 50)(ACH # 0) The Lodge at Mills River Michael J Salomone, Administrator 5593 Old Haywood Road Mills River, NC 28759- Lic No: NH0394 Provider: 345253 (828)684-4857 Fax: (828)654-8966 (SNF # 50)(ACH # 0) HENDERSON Brian Center Health & Rehabilitation/Hendersonville Luther E Reeves, Administrator (828)693-9796 1870 Pisgah Drive Fax: (828)693-1321 Hendersonville, NC 28791- Lic No: NH0470 Provider: 345312 (SNF # 120)(ACH # 0) Carolina Village Inc Jon Renegar, Administrator 600 Carolina Village Road Suite Z Hendersonville, NC 28792-2889 Lic No: NH0174 Provider: 345123 Golden LivingCenter-Hendersonville Cathy Phillips, Administrator 1510 Hebron Street Hendersonville, NC 28739-4752 Lic No: NH0273 Provider: 345223 Hendersonville Health and Rehabilitation Paul L Shogren, Administrator 104 College Drive Flat Rock, NC 28731- Lic No: NH0586 Provider: 345493 Life Care Center of Hendersonville Thomas Hager, Administrator 400 Thompson Street Hendersonville, NC 28792- Lic No: NH0565 Provider: 345463 Mountain Home Health and Rehab Melissa Pate, Administrator 200 Heritage Way Hendersonville, NC 28791- Lic No: NH0382 Provider: 345285 (828)692-6275 Fax: (828)692-6273 (SNF # 58)(ACH # 0) (828)693-8461 Fax: (828)693-1905 (SNF # 150)(ACH # 0) (828)693-8600 Fax: (828)882-9771 (SNF # 130)(ACH # 0) (828)697-4348 Fax: (828)696-1668 (SNF # 80)(ACH # 0) (828)693-5849 Fax: (828)697-5707 (SNF # 134)(ACH # 0) Universal Health Care/Fletcher Susan H Robinson, Administrator 86 Old Airport Road Fletcher, NC 28732- Lic No: NH0608 Provider: 345522 (828)654-9060 Fax: (828)654-9071 (SNF # 90)(ACH # 0) HERTFORD Creekside Care & Rehabilitation Center Alan J Finlayson, Administrator (252)332-2126 604 Stokes Street East; 604 Stokes St. East Fax: (252)332-7719 Ahoskie, NC 27910-1006 Lic No: NH0299 Provider: 345359 (SNF # 151)(ACH # 0) HOKE Autumn Care of Raeford Steven P Haggerty, Administrator P O Box 10 Raeford, NC 28376-0010 Lic No: NH0438 Provider: 345280 HYDE Cross Creek Health Care Geraldine Weatherly, Administrator 1719 Quarter Road Swan Quarter, NC 27885-9801 Lic No: NH0515 Provider: 345407 (910)875-4280 Fax: (910)875-7059 (SNF # 132)(ACH # 8) (252)926-2143 Fax: (252)926-2414 (SNF # 80)(ACH # 0) IREDELL Autumn Care of Statesville Kimberly H Boyd, Administrator (704)883-9700 2001 VanHaven Drive Fax: (704)872-9362 Statesville, NC 28625- Lic No: NH0599 Provider: 345511 (SNF # 103)(ACH # 10) Brian Center Health & Rehabilitation/Statesville J Drew Richard, Administrator (704)873-0517 520 Valley Street Fax: (704)872-2738 Statesville, NC 28677-7935 Lic No: NH0176 Provider: 345128 (SNF # 147)(ACH # 0) report 'nhlistco' 13

IREDELL Brian Center Health & Retirement/Mooresville Carol A McClure, Administrator (704)663-3448 752 East Center Avenue Fax: (704)660-1752 Mooresville, NC 28115-2568 Lic No: NH0238 Provider: 345179 (SNF # 131)(ACH # 0) JOHNSTON Smithfield Manor Nursing and Rehab Nathan C Arnn, Administrator (919)934-3171 PO Box 1940; P O Box 1940 Fax: (919)934-5960 Smithfield, NC 27577-1940 Lic No: NH0182 Provider: 345175 (SNF # 160)(ACH # 20) Maple Leaf Health Care Jennifer K Simon, Administrator 1101 Maple Care Lane Statesville, NC 28625- Lic No: NH0488 Provider: 345340 (704)871-0705 Fax: (704)871-0708 (SNF # 94)(ACH # 8) Springbrook Nursing and Rehabilitation Center Janice B Pearce, Administrator (919)550-7200 195 Springbrook Avenue Fax: (919)550-7299 Clayton, NC 27520- Lic No: NH0646 Provider: 345569 (SNF # 100)(ACH # 0) Mooresville Center Mary Ann Fisher, Administrator 550 Glenwood Drive Mooresville, NC 28115 Lic No: NH0435 Provider: 345283 JACKSON Blue Ridge on the Mountain Timothy D Jenkins, Administrator 417 Mountain Trace Road Sylva, NC 28779- Lic No: NH0623 Provider: 345302 Skyland Care Center Mistie Cooley, Administrator 193 Asheville Hwy. Sylva, NC 28779-2694 Lic No: NH0168 Provider: 345400 (704)664-7494 Fax: (704)664-8454 (SNF # 130)(ACH # 30) (828)631-1600 Fax: (828)631-1641 (SNF # 106)(ACH # 0) (828)586-8935 Fax: (828)586-8566 (SNF # 94)(ACH # 0) JOHNSTON Barbour Court Nursing and Rehabilitation Center Moses K Muhairwe, Administrator (919)934-6017 515 Barbour Road; P O Box 2390 Fax: (919)934-2057 Smithfield, NC 27577-2390 Lic No: NH0371 Provider: 345237 (SNF # 165)(ACH # 0) Brian Center Health & Retirement/Clayton Janet L Hogue, Administrator (919)553-8232 204 Dairy Road Fax: (919)553-8432 Clayton, NC 27520-9420 Lic No: NH0475 Provider: 345317 (SNF # 90)(ACH # 0) Liberty Commons Nsg and Rehab Ctr of Johnston Cty Jennifer LaMar, Administrator (919)207-1717 2315 Highway 242 North Fax: (919)207-1529 Benson, NC 27504- Lic No: NH0606 Provider: 345519 (SNF # 100)(ACH # 60) JONES Brook Stone Living Center Judy O'Quinn, Administrator (252)224-0112 8990 Highway 17 South; P O Box 429 Fax: (252)224-1076 Pollocksville, NC 28573-0429 Lic No: NH0508 Provider: 345394 (SNF # 80)(ACH # 20) LEE Liberty Commons Nsg and Rehab Ctr of Lee County LLC Mark Chandross, Administrator (919)499-2206 310 Commerce Drive Fax: (919)499-1858 Sanford, NC 27332- Lic No: NH0613 Provider: 345532 (SNF # 80)(ACH # 0) Sanford Health & Rehabilitation Co Joshua C Threatt, Administrator (919)776-9602 2702 Farrell Road Fax: (919)777-0753 Sanford, NC 27330- Lic No: NH0286 Provider: 345534 (SNF # 131)(ACH # 0) Westfield Rehabilitation and Health Center Linda Andrews, Administrator (919)775-5404 3100 Tramway Road Fax: (919)775-3502 Sanford, NC 27330- Lic No: NH0285 Provider: 345216 (SNF # 83)(ACH # 0) LENOIR Harmony Hall Nursing and Rehabilitation Center Dean C Picot, Administrator (252)523-0082 P O Box 3527 Fax: (252)523-7474 Kinston, NC 28502-3527 Lic No: NH0355 Provider: 345156 (SNF # 175)(ACH # 0) NC State Veterans Nursing Home-Kinston Sara H Deiter, Administrator (252)939-8000 2150 Hull Road Fax: (252)939-8104 Kinston, NC 28504- Lic No: NH0634 Provider: 345560 (SNF # 100)(ACH # 0) report 'nhlistco' 14

LENOIR Signature HealthCARE of Kinston Ken F Speller, Administrator (252)527-5146 907 Cunningham Road Fax: (252)527-2884 Kinston, NC 28501- Lic No: NH0309 Provider: 345365 (SNF # 106)(ACH # 0) MARTIN Roanoke River Nursing and Rehabilitation Center (252)792-1616 119 Gatling Street Fax: (252)792-1908 Williamston, NC 27892- Lic No: NH0270 Provider: 345145 (SNF # 154)(ACH # 0) LINCOLN Brian Center Health & Retirement/Lincolnton Judy Smith, Administrator (704)735-8065 P.O. Box 249 Fax: (704)735-1119 Lincolnton, NC 28093-0249 Lic No: NH0385 Provider: 345250 (SNF # 117)(ACH # 11) Cardinal Healthcare and Rehabilitation Center Todd A Klingbiel, Administrator (704)732-7055 931 North Aspen Street Fax: (704)732-8460 Lincolnton, NC 28092-2113 Lic No: NH0504 Provider: 345385 (SNF # 63)(ACH # 20) MCDOWELL Autumn Care of Marion Ashton Brown, Administrator PO Box 339 Marion, NC 28752- Lic No: NH0346 Provider: 345165 Deer Park Health & Rehabilitation Teresa L Karr, Administrator 306 Deer Park Rd. Nebo, NC 28761-8746 Lic No: NH0326 Provider: 345233 (828)652-6701 Fax: (828)652-1412 (SNF # 110)(ACH # 15) (828)652-3032 Fax: (828)652-7224 (SNF # 140)(ACH # 0) Lincolnton Rehabilitation Center Allen Phillips, Administrator (704)732-1138 1410 East Gaston Street Fax: (704)732-4676 Lincolnton, NC 28092 Lic No: NH0406 Provider: 345159 (SNF # 120)(ACH # 0) MACON Eckerd Living Center Ava C Emory, Administrator (828)526-1315 PO BOX 190 Fax: (828)526-1320 Highlands, NC 28741- Lic No: NH0647 Provider: 345437 (SNF # 80)(ACH # 0) Macon Valley Nursing and Rehabilitation Center Richard J Brady, Administrator (828)524-7806 3195 Old Murphy Road Fax: (828)524-0146 Franklin, NC 28734-1449 Lic No: NH0417 Provider: 345263 (SNF # 200)(ACH # 0) MECKLENBURG Asbury Care Center Amanda M Teugeman, Administrator 3800 Shamrock Drive Charlotte, NC 28215-3298 Lic No: NH0573 Provider: 345544 Autumn Care of Cornelius Joshua G Wood, Administrator 19530 Mount Zion Parkway Cornelius, NC 28031- Lic No: NH0643 Provider: 345567 Avante at Charlotte Lance J Johs, Administrator 4801 Randolph Road Charlotte, NC 28211-2921 Lic No: NH0267 Provider: 345134 (704)532-7000 Fax: (704)532-5463 (SNF # 100)(ACH # 5) (704)997-2970 Fax: (704)997-2971 (SNF # 102)(ACH # 0) (704)364-8363 Fax: (704)365-6215 (SNF # 100)(ACH # 0) MADISON Elderberry Health Care Karen S Cutshall, Administrator 415 Elderberry Lane Marshall, NC 28753 Lic No: NH0479 Provider: 345319 Madison Health and Rehabilitation Debra A Giezentanner, Administrator 345 Manor Road Mars Hill, NC 28754-9778 Lic No: NH0290 Provider: 345206 (828)252-1790 Fax: (828)649-9348 (SNF # 80)(ACH # 20) (828)689-5200 Fax: (828)689-2729 (SNF # 100)(ACH # 0) Brian Center Health and Rehabilitation/Charlotte Maher Chaik Oughli, Administrator (704)563-6862 5939 Reddman Road Fax: (704)532-6907 Charlotte, NC 28212-1654 Lic No: NH0363 Provider: 345243 (SNF # 120)(ACH # 0) Brian Center Nursing Care/Shamrock Sharon L LeBlanc, Administrator (704)563-0886 2727 Shamrock Drive Fax: (704)532-2329 Charlotte, NC 28205-2215 Lic No: NH0465 Provider: 345304 (SNF # 100)(ACH # 0) report 'nhlistco' 15

MECKLENBURG Brookdale Carriage Club Providence D'Anna L Helms, Administrator (704)365-8551 5800 Old Providence Road Fax: (704)366-4270 Charlotte, NC 28226- Lic No: NH0574 Provider: 34-5482 (SNF # 42)(ACH # 2) MECKLENBURG Olde Knox Commons at The Villages of Mecklenburg Jimmy D Greene, Administrator (704)897-2700 13825 Hunton Lane Fax: (704)897-2800 Huntersville, NC 28078- Lic No: NH0620 Provider: 345541 (SNF # 114)(ACH # 0) Carrington Place Marissa O Helbing, Administrator (704)841-4920 600 Fullwood Lane Fax: (704)841-4700 Matthews, NC 28105-3090 Lic No: NH0060 Provider: 345103 (SNF # 166)(ACH # 10) Charlotte Health & Rehabilitation Center Angela Conrade, Administrator (704)394-4001 1735 Toddville Road Fax: (704)394-4148 Charlotte, NC 28214-2436 Lic No: NH0512 Provider: 345405 (SNF # 120)(ACH # 0) Clear Creek Nursing & Rehabilitation Center Coleen L Anderson, Administrator (704)545-2377 10506 Clear Creek Commerce Drive Fax: (704)545-2440 Mint Hill, NC 28227- Lic No: NH0635 Provider: 345562 (SNF # 120)(ACH # 0) Pavilion Health Center at Brightmore Jeffery R Bardo, Administrator (980)245-8500 10011 Providence Road West Fax: (980)245-8502 Charlotte, NC 28277- Lic No: NH0639 Provider: 345563 (SNF # 120)(ACH # 0) Peak Resources-Charlotte Drew Richard, Administrator (704)749-1100 3223 Central Avenue Fax: (704)749-1200 Charlotte, NC 28205- Lic No: NH0426 Provider: 345013 (SNF # 142)(ACH # 0) Pineville Rehabilitation and Living Center Cassandra J Dority, Administrator (704)889-2273 1010 Lakeview Drive Fax: (704)889-5434 Pineville, NC 28134 Lic No: NH0521 Provider: 345415 (SNF # 106)(ACH # 10) Golden LivingCenter-Charlotte Sherry Dixon, Administrator 2616 East 5th Street Charlotte, NC 28204-4343 Lic No: NH0279 Provider: 345201 Golden LivingCenter-Dartmouth K Daniel Goodwin, Administrator 300 Providence Road Charlotte, NC 28207-1420 Lic No: NH0319 Provider: 345008 (704)333-5165 Fax: (704)372-6906 (SNF # 120)(ACH # 0) (704)334-1671 Fax: (704)333-6596 (SNF # 133)(ACH # 0) Royal Park Rehabilitation & Health Center Mark Farran, Administrator (704)849-6990 2700 Royal Commons Lane Fax: (704)443-3400 Matthews, NC 28105- Lic No: NH0063 Provider: 345026 (SNF # 169)(ACH # 0) Sardis Oaks Colin C Clode, Administrator (704)365-4202 5151 Sardis Road Fax: (704)364-4901 Charlotte, NC 28270-5291 Lic No: NH0483 Provider: 345331 (SNF # 124)(ACH # 0) Hunter Woods Nursing and Rehabilitation Center Shannon H Brown, Administrator (704)598-5136 620 Tom Hunter Rd. Fax: (704)598-5167 Charlotte, NC 28213- Lic No: NH0503 Provider: 345388 (SNF # 120)(ACH # 10) Saturn Nursing and Rehabilitation Center Elisa P Matheney, Administrator (704)598-4480 1930 West Sugar Creek Road Fax: (704)598-4485 Charlotte, NC 28262- Lic No: NH0557 Provider: 345489 (SNF # 120)(ACH # 20) Huntersville Oaks Scharee Majeed, Administrator 12019 Verhoeff Drive Huntersville, NC 28078-1300 Lic No: NH0377 Provider: 345096 (704)863-1000 Fax: (704)863-1001 (SNF # 168)(ACH # 0) Sharon Towers Melessia McGinnis, Administrator (704)553-1670 5100 Sharon Road Fax: (704)553-1877 Charlotte, NC 28210-4799 Lic No: NH0121 Provider: 345564 (SNF # 96)(ACH # 40) Mecklenburg Health & Rehabilitation Center Danute Nykas, Administrator (704)583-0430 2415 Sandy Porter Road Fax: (704)583-0433 Charlotte, NC 28273- Lic No: NH0570 Provider: 345471 (SNF # 100)(ACH # 0) Southminster Mary C Cooper, Administrator (704)551-6800 8919 Park Road Fax: (704)551-6868 Charlotte, NC 28210-7610 Lic No: NH0414 Provider: None (SNF # 60)(ACH # 25) report 'nhlistco' 16

MECKLENBURG The Pines at Davidson David C Rainey, Administrator 400 Avinger Lane Davidson, NC 28036-8800 Lic No: NH0443 Provider: None (704)896-1100 Fax: (704)896-1119 (SNF # 54)(ACH # 30) MOORE Inn at Quail Haven Village Angela K Pauline, Administrator 155 Blake Blvd Pinehurst, NC 28374-8472 Lic No: NH0605 Provider: 345518 (910)295-2294 Fax: (910)295-2379 (SNF # 60)(ACH # 0) The Stewart Health Center Steven N Kerley, Administrator 6920 Marching Duck Drive Charlotte, NC 28210- (704)714-5555 Fax: (704)714-5556 Lic No: NH0584 Provider: 345495 (SNF # 56)(ACH # 4) KingsWood Nursing Center Stephen L Burroughs, Administrator 915 Pee Dee Road Aberdeen, NC 28315- Lic No: NH0597 Provider: 345509 (910)944-8999 Fax: (910)944-0809 (SNF # 90)(ACH # 10) University Place Nursing and Rehabilitation Center Kathy B Eudy, Administrator (704)549-0807 P.O. Box 561869 Fax: (704)548-8413 Charlotte, NC 28256-1869 Lic No: NH0016 Provider: 345142 (SNF # 207)(ACH # 10) Manor Care Health Services-Pinehurst Phillip M Britt, Administrator (910)295-1781 205 Rattlesnake Trail Fax: (910)295-1071 Pinehurst, NC 28374-3939 Lic No: NH0230 Provider: 345177 (SNF # 120)(ACH # 0) White Oak Manor-Charlotte Amanda Pack, Administrator (704)365-2620 4009 Craig Avenue Fax: (704)365-2624 Charlotte, NC 28211 Lic No: NH0350 Provider: 345238 (SNF # 180)(ACH # 0) WillowBrooke Court SC Ctr at Plantation Estates Linda L Witcher, Administrator (704)845-6220 701 Plantation Estates Drive Fax: (704)845-4517 Matthews, NC 28105-6550 Lic No: NH0466 Provider: 345326 (SNF # 80)(ACH # 60) Peak Resources-Pinelake Georgianna F Powers, Administrator 801 Pinehurst Avenue Carthage, NC 28327- Lic No: NH0539 Provider: 345429 Penick Village Toni Y Williams, Administrator 500 East Rhode Island Avenue Southern Pines, NC 28387- Lic No: NH0127 Provider: 345111 (910)947-5155 Fax: (910)947-5631 (SNF # 90)(ACH # 20) (910)692-0300 Fax: (910)692-4327 (SNF # 50)(ACH # 42) Wilora Lake Healthcare Center Randy K Smithey, Administrator 6001 Wilora Lake Road Charlotte, NC 28212-2833 Lic No: NH0572 Provider: 345473 (704)563-2922 Fax: (704)563-2814 (SNF # 70)(ACH # 20) Pinehurst Healthcare & Rehabilitation Center Thaddeus R Morgan, Administrator (910)295-6158 P O Box 5309 Fax: (910)295-1438 Pinehurst, NC 28374-5309 Lic No: NH0294 Provider: 345370 (SNF # 144)(ACH # 0) MITCHELL Brian Center Health & Rehabilitation/Spruce Pine Malcolm S Spear, Administrator (828)765-7312 218 Laurel Creek Court Fax: (828)765-7295 Spruce Pine, NC 28777-3134 Lic No: NH0433 Provider: 345270 (SNF # 127)(ACH # 6) MONTGOMERY Autumn Care of Biscoe Jeffrey Cochran, Administrator (910)428-2117 401 Lambert Road; P O Box 708 Fax: (910)428-1165 Biscoe, NC 27209-0708 Lic No: NH0411 Provider: 345000 (SNF # 141)(ACH # 10) St Joseph of The Pines Health Center Dawn R Wilson, Administrator 103 Gossman Drive Southern Pines, NC 28374-2225 Lic No: NH0589 Provider: 345044 (910)246-1000 Fax: (910)246-1333 (SNF # 176)(ACH # 0) NASH Autumn Care of Nash Karen Sparrow, Administrator (252)462-0070 P.O. Box 157 Fax: (252)462-0673 Nashville, NC 27856- Lic No: NH0602 Provider: 345514 (SNF # 60)(ACH # 20) report 'nhlistco' 17

NASH Hunter Hills Nursing and Rehabilitation Center Michelle Batchelor, Administrator (252)443-0867 PO Box 8495 Fax: (252)443-0247 Rocky Mount, NC 27804-8495 Lic No: NH0437 Provider: 345279 (SNF # 141)(ACH # 9) NEW HANOVER Liberty Commons Rehabilitation Center Gabriel Tew, Administrator (910)452-4070 121 Racine Drive Fax: (910)452-1864 Wilmington, NC 28403- Lic No: NH0569 Provider: 345468 (SNF # 100)(ACH # 40) Rocky Mount Rehabilitation Center Neil Ivey, Administrator (252)443-7667 160 Winstead Avenue Fax: (252)443-2915 Rocky Mount, NC 27804-3452 Lic No: NH0313 Provider: 345260 (SNF # 117)(ACH # 0) South Village Linda D Tharrington, Administrator (252)442-4156 2221 W Raleigh Blvd Fax: (252)407-8478 Rocky Mount, NC 27803-2722 Lic No: NH0122 Provider: 345137 (SNF # 100)(ACH # 15) NEW HANOVER Autumn Care of Myrtle Grove Melissa Sullivan, Administrator (910)792-1455 5725 Carolina Beach Rd.; P.O. Box 15865 Fax: (910)792-1492 Wilmington, NC 28408-5864 Lic No: NH0595 Provider: 345507 (SNF # 90)(ACH # 20) Azalea Health & Rehab Center Kathleen M Stierwalt, Administrator 3800 Independence Blvd Wilmington, NC 28412- Lic No: NH0632 Provider: 345557 Cypress Pointe Rehabilitation Center Jennifer L Williamson, Administrator 2006 South 16th Street Wilmington, NC 28401-6613 Lic No: NH0205 Provider: 345002 (910)392-3110 Fax: (910)392-3118 (SNF # 80)(ACH # 0) (910)763-6271 Fax: (910)251-9803 (SNF # 90)(ACH # 0) NorthChase Nursing and Rehabilitation Center Destiny R Harris, Administrator (910)791-3451 3015 Enterprise Drive Fax: (910)791-4845 Wilmington, NC 28405- Lic No: NH0436 Provider: 345119 (SNF # 140)(ACH # 0) Silver Stream Health and Rehabilitation Center Brian R Tenney, Administrator (910)362-3621 2305 Silver Stream Lane Fax: (910)251-8760 Wilmington, NC 28401- Lic No: NH0617 Provider: 345537 (SNF # 110)(ACH # 0) Trinity Grove Bonnie J Skobel, Administrator (910)442-3000 631 Junction Creek DRive Fax: (910)442-3010 Wilmington, NC 28412-2296 Lic No: NH0630 Provider: 345554 (SNF # 100)(ACH # 0) Wilmington Health and Rehabilitation Center Doug R Whitman, Administrator (910)343-0425 820 Wellington Avenue Fax: (910)762-1791 Wilmington, NC 28401-7618 Lic No: NH0392 Provider: 345236 (SNF # 120)(ACH # 0) NORTHAMPTON Northampton Nursing and Rehabilitation Center Deloris B Roberson, Administrator (252)534-0131 200 Hampton Woods Complex Fax: (252)534-9926 Jackson, NC 27845-0248 Lic No: NH0537 Provider: 345313 (SNF # 80)(ACH # 0) Davis Health Care Center Angela H Barr, Administrator 1011 Porters Neck Road Wilmington, NC 28411-9196 Lic No: NH0097 Provider: 345160 (910)686-7195 Fax: (910)686-7592 (SNF # 179)(ACH # 0) Rich Square Health Care Center Freda J Wright, Administrator (252)539-4161 300 North Main Street Fax: (252)539-6503 Rich Square, NC 27869- Lic No: NH0045 Provider: 345356 (SNF # 69)(ACH # 0) Davis Health and Wellness Center at Cambridge Village Elizabeth H Schmidlin, Administrator (910)679-8300 83 Cavalier Drive Fax: (910)686-7592 Wilmington, NC 28405- Lic No: NH0645 Provider: 345568 (SNF # 20)(ACH # 0) ONSLOW Carolina Rivers Nursing and Rehabilitation Center Brandy Humphrey, Administrator (910)455-3610 1839 Onslow Drive Extension; P O Box 5021 Fax: (910)455-3993 Jacksonville, NC 28540-5906 Lic No: NH0370 Provider: 345072 (SNF # 120)(ACH # 0) report 'nhlistco' 18

ONSLOW Premier Nursing and Rehabilitation Center Nancy K Pless, Administrator (910)353-7222 225 White Street Fax: (910)353-4183 Jacksonville, NC 28546- Lic No: NH0229 Provider: 345217 (SNF # 239)(ACH # 7) PASQUOTANK Kindred Transitional Care and Rehabilitation Elizabeth Tonia M Bryant, Administrator 901 South Halstead Boulevard (252)338-0137 Fax: (252)338-3459 Elizabeth City, NC 27909-6999 Lic No: NH0302 Provider: 345184 (SNF # 108)(ACH # 0) ORANGE Brookshire Nursing Center Joshua D Stevens, Administrator (919)644-6714 300 Meadowland Drive; P O Box 1107 Fax: (919)644-0812 Hillsborough, NC 27278- Lic No: NH0545 Provider: 345439 (SNF # 80)(ACH # 20) PENDER Huntington Health Care Carrie T Payne, Administrator 311 South Campbell Street Burgaw, NC 28425 Lic No: NH0461 Provider: 345298 (910)259-6007 Fax: (910)259-6111 (SNF # 98)(ACH # 23) Carol Woods Nicole C Bodkin, Administrator 750 Weaver Dairy Road Chapel Hill, NC 27514-1438 Lic No: NH0258 Provider: 345199 (919)968-4511 Fax: (919)918-3263 (SNF # 30)(ACH # 65) Woodbury Wellness Center Inc Judith A Bullard, Administrator 2778 Country Club Drive Hampstead, NC 28443- Lic No: NH0300 Provider: 345349 (910)270-1443 Fax: (910)270-1826 (SNF # 112)(ACH # Legion Road Healthcare 44 McNeil's Plaza Whiteville, NC 28472- Lic No: NH0239 Provider: 345334 Pruitt Health-Carolina Point La'Ticia N Beatty, Administrator 5935 Mount Sinai Road Durham, NC 27705-8616 Lic No: NH0093 Provider: 345551 ( ) - Fax: ( ) - (SNF # 133)(ACH # 7) (919)402-2450 Fax: (919)493-1295 (SNF # 138)(ACH # 2) Signature HealthCARE of Chapel Hill Turner T Prickett III, Administrator (919)967-1418 1602 East Franklin Street Fax: (919)967-1457 Chapel Hill, NC 27514-2885 Lic No: NH0329 Provider: 345225 (SNF # 108)(ACH # 0) PAMLICO Grantsbrook Nursing and Rehabilitation Center Truman A Vereen, Administrator (252)745-5005 290 Keel Road Fax: (252)745-5344 Grantsboro, NC 28529- Lic No: NH0450 Provider: 345292 (SNF # 96)(ACH # 8) PASQUOTANK Elizabeth City Health and Rehabilitation David Fardulis, Administrator (252)338-3975 1075 US Highway 17 South Fax: (252)338-0039 Elizabeth City, NC 27909-7628 Lic No: NH0040 Provider: 345036 (SNF # 146)(ACH # 0) PERQUIMANS Brian Center Health and Rehabilitation/Hertford Lisa Fitzgerald, Administrator (252)426-5391 1300 Don Juan Road Fax: (252)426-8434 Hertford, NC 27944-2602 Lic No: NH0432 Provider: 345262 (SNF # 78)(ACH # 0) PERSON Roxboro Healthcare & Rehabilitation Center Jill O Strickland, Administrator (336)599-0106 901 Ridge Road Fax: (336)597-5788 Roxboro, NC 27573 Lic No: NH0265 Provider: 345311 (SNF # 140)(ACH # 5) PITT Ayden Court Nursing and Rehabilitation Center Julie C Daugherty, Administrator 128 Snow Hill Road (252)746-8223 Fax: (252)746-8013 Ayden, NC 28513-0128 Lic No: NH0582 Provider: 345490 (SNF # 82)(ACH # 0) Cypress Glen Retirement Community Laurie H Stallings, Administrator 100 Hickory Street Greenville, NC 27858 Lic No: NH0473 Provider: 345512 East Carolina Rehab and Wellness Scott M Cole, Administrator 2575 West 5th Street Greenville, NC 27834- Lic No: NH0505 Provider: 345377 (252)830-0036 Fax: (252)830-0411 (SNF # 30)(ACH # 30) (252)830-9100 Fax: (252)830-8901 (SNF # 130)(ACH # 20) report 'nhlistco' 19

PITT Golden LivingCenter-Greenville Hal E Garland Jr, Administrator (252)758-4121 2910 MacGregor Downs; P.O. Box 5046 Greenville, NC 27834- Lic No: NH0271 Provider: 345168 (SNF # 152)(ACH # 0) RANDOLPH The Graybrier Nursing And Retirement Center Justin A Percival, Administrator (336)431-8888 116 Lane Drive Fax: (336)431-9053 Trinity, NC 27370-9343 Lic No: NH0489 Provider: 345330 (SNF # 128)(ACH # 0) PruittHealth-Farmville Terry E Hayes, Administrator (252)753-5547 4351 South Main Street Fax: (252)753-5156 Farmville, NC 27828 Lic No: NH0304 Provider: 345384 (SNF # 56)(ACH # 0) Universal Health Care/Ramseur Christine P Caviness, Administrator 7166 Jordon Road Ramseur, NC 27316- Lic No: NH0609 Provider: 345523 (336)824-8828 Fax: (336)824-8208 (SNF # 90)(ACH # 0) Universal Health Care/Greenville Janice D Mallard, Administrator (252)758-7100 2578 West 5th Street Fax: (252)758-1485 Greenville, NC 27834-7812 Lic No: NH0446 Provider: 345181 (SNF # 120)(ACH # 0) Westwood Health and Rehabilitation Center William K Leverett, Administrator 625 Ashland Street Archdale, NC 27263-2943 Lic No: NH0556 Provider: 345450 (336)434-2902 Fax: (336)434-4601 (SNF # 68)(ACH # 16) POLK Autumn Care of Saluda Regina Walker, Administrator (828)749-2261 501 Esseola Drive; P O Box 488 Fax: (828)749-9639 Saluda, NC 28773-0488 Lic No: NH0367 Provider: 345351 (SNF # 99)(ACH # 0) White Oak Manor-Tryon Mary J Lance, Administrator (828)859-9161 70 Oak Street; PO Box 1535 Fax: (828)859-2073 Tryon, NC 28782-1535 Lic No: NH0399 Provider: 345127 (SNF # 70)(ACH # 30) Woodland Hill Center Michael E Garland, Administrator 400 Vision Drive Asheboro, NC 27203 Lic No: NH0448 Provider: 345277 RICHMOND PruittHealth-Rockingham Debra F Griggs, Administrator 804 South Long Drive Rockingham, NC 28380- Lic No: NH0427 Provider: 345378 (336)672-5450 Fax: (336)672-3174 (SNF # 100)(ACH # 0) (910)997-4493 Fax: (910)997-4083 (SNF # 120)(ACH # 0) WillowBrooke Court SC Center at Tryon Estates Kathryn G Dotson, Administrator (828)894-5500 619 Laurel Lake Drive Fax: (828)894-3576 Columbus, NC 28722- Lic No: NH0559 Provider: 345459 (SNF # 52)(ACH # 44) Richmond Pines Healthcare and Rehabilitation Center Chad Colby, Administrator Highway 177 South; P O Box 1489 (910)582-0021 Fax: (910)205-0244 Hamlet, NC 28345-1489 Lic No: NH0455 Provider: 345293 (SNF # 105)(ACH # 10) RANDOLPH Clapp's Convalescent Nursing Home Inc Phyllis L Jones, Administrator (336)625-2074 500 Mountain Top Drive Fax: (336)625-1927 Asheboro, NC 27203-7929 Lic No: NH0020 Provider: 345015 (SNF # 96)(ACH # 0) Randolph Health and Rehabilitation Center Yvonne M Washburn, Administrator (336)629-1447 230 East Presnell Street Fax: (336)629-1463 Asheboro, NC 27203- Lic No: NH0335 Provider: 345155 (SNF # 238)(ACH # 0) ROBESON GlenFlora Randall J Kropp, Administrator 5701 Fayetteville Road Lumberton, NC 28360-2163 Lic No: NH0533 Provider: 345194 Golden LivingCenter-Lumberton Roxanne W Thompson, Administrator P O Box 1675 Lumberton, NC 28358-4283 Lic No: NH0289 Provider: 345234 (910)739-2821 Fax: (910)738-4539 (SNF # 52)(ACH # 20) (910)739-6048 Fax: (910)739-7759 (SNF # 122)(ACH # 0) report 'nhlistco' 20

ROBESON Highland Acres Nursing and Rehabilitation Center Larissa Locklier, Administrator (910)671-1163 1170 Linkhaw Road Fax: (910)671-1625 Lumberton, NC 28358-7405 Lic No: NH0472 Provider: 345315 (SNF # 90)(ACH # 5) ROWAN Big Elm Retirement and Nursing Centers Thomas E Gatewood III, Administrator (704)932-0000 1285 West A Street Fax: (704)938-6039 Kannapolis, NC 28081- Lic No: NH0471 Provider: 345342 (SNF # 50)(ACH # 96) Pembroke Center Theresa Johnson-Tillison, Administrator (910)521-1273 310 East Wardell Drive; P O Box 2529 Fax: (910)521-5619 Pembroke, NC 28372-2529 Lic No: NH0518 Provider: 345409 (SNF # 84)(ACH # 0) Wesley Pines Retirement Community M Wade Rozier, Administrator 1000 Wesley Pines Road Lumberton, NC 28358-2148 Lic No: NH0240 Provider: 345180 ROCKINGHAM Avante at Reidsville Misty C Hackett, Administrator 543 Maple Avenue Reidsville, NC 27320- Lic No: NH0293 Provider: 345227 Jacob's Creek Nursing and Rehabilitation Center James Krob, Administrator (336)548-9658 (Bailey Road); 1721 Bald Hill Loop Fax: (336)548-1764 Madison, NC 27025-9578 Lic No: NH0092 Provider: 345050 (SNF # 170)(ACH # 0) Penn Nursing Center Annette M McNeill, Administrator 618-A South Main Street Reidsville, NC 27320-5020 Lic No: NH0614 Provider: 345530 ROWAN (910)738-9691 Fax: (910)738-8905 (SNF # 62)(ACH # 42) (336)342-1382 Fax: (336)496-4090 (SNF # 110)(ACH # 0) Brian Center Health and Rehabilitation/Eden Megan M Brown, Administrator (336)623-1750 226 North Oakland Avenue Fax: (336)623-6610 Eden, NC 27288-0548 Lic No: NH0361 Provider: 345241 (SNF # 112)(ACH # 0) (336)951-6000 Fax: (336)951-6008 (SNF # 82)(ACH # 10) Autumn Care of Salisbury Glenn R Terry, Administrator (704)637-5885 1505 Bringle Ferry Road; P O Box 1789 Fax: (704)636-6974 Salisbury, NC 28144-1789 Lic No: NH0424 Provider: 345269 (SNF # 97)(ACH # 3) Brian Center Health & Rehabilitation/Salisbury Rebecca E Marion, Administrator (704)633-7390 635 Statesville Boulevard Fax: (704)636-5525 Salisbury, NC 28144-2105 Lic No: NH0449 Provider: 345115 (SNF # 185)(ACH # 0) Brightmoor Nursing Center Wanda G Lowman, Administrator (704)633-2781 610 West Fisher Street; P O Box 2167 Fax: (704)633-5610 Salisbury, NC 28145-2167 Lic No: NH0050 Provider: 345140 (SNF # 58)(ACH # 43) Liberty Commons Nsg and Rehab Ctr of Rowan Cty Patrick Foley, Administrator (704)637-3040 4412 South Main Street Fax: (704)637-1583 Salisbury, NC 28147-9383 Lic No: NH0591 Provider: 345503 (SNF # 90)(ACH # 0) Magnolia Estates Skilled Care Facility Christina A Billings, Administrator (704)633-3892 P O Box 5 Fax: (704)637-2784 Spencer, NC 28159-0005 Lic No: NH0442 Provider: 345288 (SNF # 70)(ACH # 0) North Carolina State Veterans Home Salisbury Sally Davis, Administrator (704)638-4200 P.O. Box 599 Fax: (704)636-4577 Salisbury, NC 28145- Lic No: NH0616 Provider: 345531 (SNF # 99)(ACH # 0) Salisbury Center Timothy W Cornelison, Administrator (704)636-5812 710 Julian Road Fax: (704)636-8464 Salisbury, NC 28147-9079 Lic No: NH0441 Provider: 345286 (SNF # 160)(ACH # 20) The Laurels of Salisbury Casey J Baucom, Administrator (704)637-1182 215 Lash Drive Fax: (704)638-2328 Salisbury, NC 28147- Lic No: NH0538 Provider: 345428 (SNF # 60)(ACH # 20) Trinity Oaks William M Johnson, Administrator (704)637-3784 820 Klumac Road Fax: (704)636-9464 Salisbury, NC 28144-5728 Lic No: NH0197 Provider: 345153 (SNF # 115)(ACH # 25) report 'nhlistco' 21

RUTHERFORD Fair Haven Home Suzanne Hensley, Administrator 149 Fair Haven Drive Bostic, NC 28018 Lic No: NH0531 Provider: 345425 (828)245-9095 Fax: (828)245-7856 (SNF # 30)(ACH # 37) SCOTLAND Scottish Pines Rehabilitation and Nursing Center Margaret L Dickerson, Administrator (910)361-4000 620 Johns Road Fax: (910)361-4051 Laurinburg, NC 28352- Lic No: NH0340 Provider: 345383 (SNF # 149)(ACH # 0) Fair Haven of Forest City Martha C Fitzgerald, Administrator 830 Bethany Church Road Forest City, NC 28043-9112 Lic No: NH0474 Provider: 345314 Oak Grove Healthcare Center Annette M Molloy, Administrator 518 Old US Hwy 221 Rutherfordton, NC 28139-8670 Lic No: NH0566 Provider: 345464 White Oak Manor-Rutherfordton Renita G Chapman, Administrator 188 Oscar Justice Rd. Rutherfordton, NC 28139-0039 Lic No: NH0153 Provider: 345083 Willow Ridge of NC LLC Adam Bealer, Administrator 237 Tryon Road Rutherfordton, NC 28139 Lic No: NH0590 Provider: 345197 SAMPSON Mary Gran Nursing Center Jane Jackson, Administrator 120 Southwood Drive; P O Box 379 Clinton, NC 28329-5002 Lic No: NH0089 Provider: 345218 (828)245-2852 Fax: (828)248-2590 (SNF # 100)(ACH # 28) (828)287-7655 Fax: (828)351-2294 (SNF # 60)(ACH # 16) (828)286-9001 Fax: (828)286-9070 (SNF # 80)(ACH # 0) (828)286-7200 Fax: (828)287-3668 (SNF # 150)(ACH # 0) (910)592-7981 Fax: (910)592-3538 (SNF # 212)(ACH # 30) Southwood Nursing and Retirement Center Karen N Metcalf, Administrator (910)592-8165 P O Box 708 Fax: (910)596-2253 Clinton, NC 28329-0708 Lic No: NH0571 Provider: 345472 (SNF # 100)(ACH # 0) SCOTLAND Scotia Village Raymond Esteves, Administrator (910)277-2000 2200 Elm Avenue Fax: (910)277-2025 Laurinburg, NC 28352-5093 Lic No: NH0457 Provider: 345297 (SNF # 58)(ACH # 32) STANLY Bethany Woods Nursing and Rehabilitation Center Diane G Hinkle, Administrator (704)983-1195 33426 Old Salisbury Road; P O Box 1250 Fax: (704)982-0446 Albemarle, NC 28002-1250 Lic No: NH0462 Provider: 345146 (SNF # 180)(ACH # 10) Forrest Oakes Healthcare Center Zachary P Hake, Administrator (704)983-2686 620 Heathwood Drive Fax: (704)984-6458 Albemarle, NC 28001-8604 Lic No: NH0550 Provider: 345442 (SNF # 60)(ACH # 17) Stanly Manor Stephanie Herrin-Huneycutt, Administrator (704)982-0770 625 Bethany Road Fax: (704)982-1014 Albemarle, NC 28001-0038 Lic No: NH0464 Provider: 345281 (SNF # 90)(ACH # 10) Trinity Place Courtney B Adams, Administrator (704)982-8191 24724 South Business 52 Fax: (704)983-1118 Albemarle, NC 28001-8179 Lic No: NH0140 Provider: 345109 (SNF # 76)(ACH # 10) STOKES Universal Health Care/King Alan Beaver, Administrator (336)983-6505 115 White Road Fax: (336)985-5340 King, NC 27021 Lic No: NH0555 Provider: 345449 (SNF # 96)(ACH # 24) Village Care of King James M Eads, Administrator (336)983-4900 440 Ingram Road; P O Box 1750 Fax: (336)983-4710 King, NC 27021-1750 Lic No: NH0507 Provider: 345381 (SNF # 96)(ACH # 20) Walnut Cove Health and Rehabilitation Center Joshua R Dorn, Administrator (336)591-4353 PO BOX 158 Fax: (336)591-7659 Walnut Cove, NC 27052-0158 Lic No: NH0316 Provider: 345089 (SNF # 90)(ACH # 9) report 'nhlistco' 22

SURRY Central Continuing Care Kyle M Payne, Administrator (336)786-2133 1287 Newsome Street Fax: (336)786-2014 Mount Airy, NC 27030-5439 Lic No: NH0516 Provider: 345410 (SNF # 120)(ACH # 0) UNION Brian Center Health & Retirement/Monroe John B Ficker, Administrator (704)283-3066 204 Old Highway 74 East Fax: (704)225-8646 Monroe, NC 28112 Lic No: NH0493 Provider: 345345 (SNF # 60)(ACH # 12) Chatham Nursing & Rehabilitation David DuVall, Administrator (336)527-7600 700 Johnston Ridge Road Fax: (336)527-6056 Elkin, NC 28621- Lic No: NH0640 Provider: 345095 (SNF # 99)(ACH # 28) Lake Park Nursing and Rehabilitation Center Kimberly L Synder, Administrator 3315 Faith Church Rd. (704)882-3420 Fax: (704)882-5197 Indian Trail, NC 28079- Lic No: NH0592 Provider: 345502 (SNF # 120)(ACH # 0) Golden LivingCenter-Surry Community August J Gephardt, Administrator (336)789-5076 542 Allred Mill Road Fax: (336)789-0309 Mount Airy, NC 27030-2202 Lic No: NH0276 Provider: 345191 (SNF # 120)(ACH # 0) PruittHealth-Elkin Linda H Reece, Administrator (336)835-7802 560 Johnson Ridge Road Fax: (336)526-2881 Elkin, NC 28621-2495 Lic No: NH0303 Provider: 345124 (SNF # 100)(ACH # 0) Monroe Rehabilitation Center Christina M Acosta, Administrator 1212 Sunset Drive East Monroe, NC 28112- Lic No: NH0310 Provider: 345254 PruittHealth-Union Pointe John Thomas, Administrator 3510 West Highway 74 Monroe, NC 28110- Lic No: NH0644 Provider: 345566 (704)283-8548 Fax: (704)283-4664 (SNF # 147)(ACH # 5) (704)291-8500 Fax: (704)291-8501 (SNF # 90)(ACH # 0) SWAIN Mountain View Manor Nursing Center Dennis C Ramsey, Administrator (828)488-2101 410 Buckner Branch Road; P O Box 2344 Fax: (828)488-8502 Bryson City, NC 28713-9509 Lic No: NH0251 Provider: 345193 (SNF # 120)(ACH # 0) TRANSYLVANIA Brian Center Health and Rehabilitation/Brevard Donna Morgan-Kelley, Administrator (828)884-2031 115 N. Country Club Road; P O Box 1096 Fax: (828)884-2123 Brevard, NC 28712-1096 Lic No: NH0277 Provider: 345208 (SNF # 147)(ACH # 0) The Oaks-Brevard Matthews Cummings, Administrator (828)877-4020 300 Morris Road; P O Box 1156 Fax: (828)877-3858 Brevard, NC 28712- Lic No: NH0563 Provider: 345462 (SNF # 110)(ACH # 10) UNION Autumn Care of Marshville Jonathan R Thomas, Administrator (704)624-6643 311 West Phifer Street; P O Box 608 Fax: (704)624-2022 Marshville, NC 28103 Lic No: NH0421 Provider: 345268 (SNF # 110)(ACH # 10) White Oak of Waxhaw Lauren E Cecil, Administrator 700 Howie Mine Road Waxhaw, NC 28173-9715 Lic No: NH0628 Provider: 345550 (704)243-7640 Fax: (704)243-7641 (SNF # 100)(ACH # 0) VANCE Kerr Lake Nursing and Rehabilitation Center Nancy Hughes, Administrator (252)492-7021 1245 Park Avenue; P O Box 1148 Fax: (252)492-2985 Henderson, NC 27536-1098 Lic No: NH0353 Provider: 345321 (SNF # 92)(ACH # 23) Kindred Nursing and Rehabilitation-Henderson Jacqueline Mitchell, Administrator (252)438-6141 280 South Beckford Drive Fax: (252)438-6865 Henderson, NC 27536- Lic No: NH0307 Provider: 345344 (SNF # 78)(ACH # 0) Senior Citizen's Home Inc Herman A Davis III, Administrator (252)492-0066 2275 Ruin Creek Road; P. O. Box 848 Fax: (252)492-0911 Henderson, NC 27536- Lic No: NH0477 Provider: 345316 (SNF # 60)(ACH # 54) report 'nhlistco' 23

WAKE Brittany Place Christopher Romick, Administrator (919)234-0318 17001 Searstone Drive Fax: (919)234-0319 Cary, NC 27513- Lic No: NH0636 Provider: (SNF # 16)(ACH # 8) WAKE Raleigh Rehabilitation Center Mark D Childs, Administrator (919)828-6251 616 Wade Avenue Fax: (919)828-3294 Raleigh, NC 27605- Lic No: NH0115 Provider: 345049 (SNF # 157)(ACH # 0) Capital Nursing and Rehabilitation Center Amy Huntley, Administrator (919)231-6045 3000 Holston Lane Fax: (919)231-0943 Raleigh, NC 27610- Lic No: NH0268 Provider: 345202 (SNF # 125)(ACH # 0) Cary Health and Rehabilitation Center Elizabeth H Holland, Administrator (919)851-8000 6590 Tryon Road Fax: (919)859-6234 Cary, NC 27518- Lic No: NH0511 Provider: 345403 (SNF # 120)(ACH # 30) Dan E & Mary Louise Stewart Health Center of Cary R Corley, Administrator (919)848-7154 1500 Sawmill Road Fax: (919)848-7392 Raleigh, NC 27615 Lic No: NH0383 Provider: None (SNF # 173)(ACH # 18) Glenaire Beverly L Cowdrick, Administrator (919)460-8095 4000 Glenaire Circle Fax: (919)467-0844 Cary, NC 27511- Lic No: NH0549 Provider: 345445 (SNF # 71)(ACH # 9) Hillcrest Raleigh at Crabtree Valley Lisa H Lee, Administrator (919)781-4900 3830 Blue Ridge Road Fax: (919)424-4637 Raleigh, NC 27612-4319 Lic No: NH0428 Provider: 345555 (SNF # 134)(ACH # 0) Hillside Nursing Center of Wake Forest Hawley M Hunt, Administrator (919)556-4082 P O Box 1826 Fax: (919)554-4650 Wake Forest, NC 27588-1826 Lic No: NH0525 Provider: 345417 (SNF # 130)(ACH # 20) Litchford Falls Healthcare and Rehabilitation Center Victoria C Hope, Administrator (919)878-7772 8200 Litchford Road Fax: (919)878-0950 Raleigh, NC 27615-4213 Lic No: NH0558 Provider: 345499 (SNF # 90)(ACH # 24) PruittHealth-Raleigh Darryl Taylor, Administrator (919)755-0226 2420 Lake Wheeler Road Fax: (919)755-9114 Raleigh, NC 27603- Lic No: NH0618 Provider: 345538 (SNF # 150)(ACH # 0) Rex Rehabilitation and Nursing Care Center of Apex Michael Hess, Administrator (919)363-6011 911 South Hughes St. Fax: (919)363-6014 Apex, NC 27502- Lic No: NH0594 Provider: 345508 (SNF # 107)(ACH # 0) Sunnybrook Rehabilitation Center Craig B Mitchell, Administrator (919)231-6150 25 Sunnybrook Road Fax: (919)231-8258 Raleigh, NC 27610- Lic No: NH0146 Provider: 345077 (SNF # 95)(ACH # 0) The Laurels of Forest Glenn Jonathan J Wade, Administrator (919)772-8888 1101 Hartwell Street Fax: (919)772-4814 Garner, NC 27529-0509 Lic No: NH0506 Provider: 345389 (SNF # 120)(ACH # 20) The Oaks at Whitaker Glen-Mayview Ginger B Baker, Administrator (919)828-2348 513 East Whitaker Mill Road Fax: (919)828-7554 Raleigh, NC 27608-2699 Lic No: NH0007 Provider: 345009 (SNF # 139)(ACH # 0) The Rosewood Health Center Sena Quist, Administrator (919)870-9007 8801 Cypress Lakes Drive Fax: (919)518-8951 Raleigh, NC 27615- Lic No: NH0622 Provider: 345546 (SNF # 36)(ACH # 4) Tower Nursing and Rehabilitation Center Jacqueline Livermore, Administrator (919)231-8113 3609 Bond Street Fax: (919)231-6896 Raleigh, NC 27604 Lic No: NH0354 Provider: 345513 (SNF # 180)(ACH # 6) Universal Health Care/Fuquay-Varina Donna R Cook, Administrator (919)577-0421 2929 North Oxford Street Fax: (919)557-3683 Claremont, NC 28610- Lic No: NH0637 Provider: 345561 (SNF # 100)(ACH # 0) Universal Health Care/North Raleigh Michelle T Baldwin, Administrator (919)872-7033 5201 Clarks Fork Drive, NW Fax: (919)872-7035 Raleigh, NC 27616- Lic No: NH0611 Provider: 345529 (SNF # 132)(ACH # 0) report 'nhlistco' 24

WAKE Wellington Rehabilitation and Healthcare James V Caligiuri, Administrator (919)266-7744 1000 Tandall Place Fax: (919)266-2274 Knightdale, NC 27545-9293 Lic No: NH0544 Provider: 345436 (SNF # 80)(ACH # 20) WAYNE Willow Creek Nursing and Rehabilitation Center Wendy Clarke, Administrator (919)736-2121 2401 Wayne Memorial Drive; P O Box 11419 Fax: (919)736-2922 Goldsboro, NC 27532-1419 Lic No: NH0379 Provider: 345113 (SNF # 200)(ACH # 0) Zebulon Rehabilitation Center Sharla A Haugh, Administrator (919)269-9621 509 West Gannon Avenue Fax: (919)269-5703 Zebulon, NC 27597- Lic No: NH0317 Provider: 345104 (SNF # 60)(ACH # 0) WARREN Warren Hills, A Personal Care & Nursing Facility Danny W Moss, Administrator (252)257-2011 PO Box 618 Fax: (252)257-5164 Warrenton, NC 27589-0618 Lic No: NH0360 Provider: 345240 (SNF # 140)(ACH # 20) WASHINGTON Roanoke Landing Nursing and Rehabilitation Center Penny K Brown, Administrator (252)793-2100 1084 US 64 East Fax: (252)793-1243 Plymouth, NC 27962- Lic No: NH0419 Provider: 345266 (SNF # 114)(ACH # 9) WATAUGA Blowing Rock Rehab Davant Extended Care Ctr Nathan A White, Administrator (828)295-3136 P O Box 148 Fax: (828)295-6698 Blowing Rock, NC 28605 Lic No: NH0638 Provider: 345045 (SNF # 72)(ACH # 0) Glenbridge Health and Rehabilitation Center Laura J White, Administrator (828)264-6720 211 Milton Brown Heirs Road Fax: (828)264-9023 Boone, NC 28607- Lic No: NH0400 Provider: 345163 (SNF # 134)(ACH # 0) WAYNE Brian Center Health and Rehabilitation/Goldsboro Marcus G Faison, Administrator (919)731-2805 1700 Wayne Memorial Drive Fax: (919)734-8882 Goldsboro, NC 27534- Lic No: NH0492 Provider: 345343 (SNF # 130)(ACH # 0) Mount Olive Center William J Marshall, Administrator (919)658-9522 228 Smith Chapel Road; P O Box 1079 Fax: (919)658-0543 Mount Olive, NC 28365-0569 Lic No: NH0401 Provider: 345126 (SNF # 150)(ACH # 0) WILKES Avante at Wilkesboro John P Walder, Administrator (336)838-4141 1000 College Street Fax: (336)838-4019 Wilkesboro, NC 28697-2799 Lic No: NH0451 Provider: 345133 (SNF # 120)(ACH # 0) Westwood Hills Nursing and Rehabilitation Center Janice B Somers, Administrator (336)667-9261 1016 Fletcher Street Fax: (336)667-4825 Wilkesboro, NC 28697-9473 Lic No: NH0295 Provider: 345205 (SNF # 176)(ACH # 10) Wilkes Senior Village Alicia Huffman, Administrator (336)667-2020 204 Old Brickyard Road; 204 Old Brickyard Fax: (336)667-5357 North Wilkesboro, NC 28659 Lic No: NH0509 Provider: 345401 (SNF # 111)(ACH # 19) WILSON Avante at Wilson Taslim P Ahmed, Administrator (252)237-8161 1804 Forest Hills Road Fax: (252)237-0447 Wilson, NC 27893-1622 Lic No: NH0272 Provider: 345063 (SNF # 110)(ACH # 0) Brian Center Health & Rehabilitation/Wilson Dan R Cotten, Administrator (252)237-6300 2501 Downing Street Fax: (252)234-0488 Wilson, NC 27895- Lic No: NH0487 Provider: 345332 (SNF # 99)(ACH # 0) Wilson Pines Nursing and Rehabilitation Center Michael J Kelly, Administrator (252)237-0724 403 Crestview Avenue Fax: (252)234-0499 Wilson, NC 27893 Lic No: NH0218 Provider: 345372 (SNF # 95)(ACH # 30) Wilson Rehabilitation and Nursing Center Betty Lancaster, Administrator (252)399-8998 1705 South Tarboro Street Fax: (252)399-8996 Wilson, NC 27893-3428 Lic No: NH0530 Provider: 345423 (SNF # 90)(ACH # 0) report 'nhlistco' 25

YADKIN Willowbrook Rehabilitation and Care Center Brandi H Semones, Administrator (336)679-8028 333 E. Lee Avenue Fax: (336)679-4072 Yadkinville, NC 27055-8132 Lic No: NH0568 Provider: 345466 (SNF # 76)(ACH # 0) Yadkin Nursing Care Center Nolan G Brown, Administrator (336)679-8863 903 West Main Street; P O Box 879 Fax: (336)679-3009 Yadkinville, NC 27055-0879 Lic No: NH0224 Provider: 345167 (SNF # 147)(ACH # 0) YANCEY Brookside Rehabilitation and Care Dale E Spangler, Administrator (828)682-9759 310 Pensacola Road; P O Box 248 Fax: (828)682-9825 Burnsville, NC 28714-3318 Lic No: NH0467 Provider: 345305 (SNF # 140)(ACH # 0) Total number of facilities: 412 report 'nhlistco' 26