WATERBROOKE ASSISTED LIVING
NPI 1366573438
Custodial Care Facility - Adult Care Home in Tabor City, NC

Q: What is Palmetto Healthcare Inc.'s NPI number?

The NPI number for Palmetto Healthcare Inc. is 1366573438. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Waterbrooke Assisted Living.

Q: What is Palmetto Healthcare Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since March 08, 2007

703 ELIZABETH ST, TABOR CITY, NC 28463(910) 754-6621 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Waterbrooke Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATERBROOKE ASSISTED LIVING (NPI 1366573438) is a healthcare organization registered as an adult care home in Tabor City, North Carolina and active in the NPI registry since March 2007. The organization lists David Goldston, President, as its authorized official.

NPPES Registry Identity

NPI1366573438

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NamePALMETTO HEALTHCARE INC.

Location Address703 ELIZABETH STTabor City, NC 28463-2603

Mailing AddressPo Box 1559Shallotte, NC 28459-1559

Phone(910) 754-6621

Organization SubpartNo

Authorized OfficialDavid GoldstonPresident · (910) 754-6621

Enumeration DateMarch 8, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1366573438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in NC · HAL-024-008

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

703 ELIZABETH ST, Tabor City, NC 28463

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Other Names 1

Doing Business AsWaterbrooke Assisted Living

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAINTREE HEALTHCARE OF TABOR CITY, LLC

Assisted Living Facility

703 ELIZABETH ST
TABOR CITY, NC 28463

Columbus County (910) 653-6400

WATERSIDE HEALTHCARE INC.

Custodial Care Facility (Adult Care Home)

703 ELIZABETH ST
TABOR CITY, NC 28463

Columbus County (910) 653-6400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Palmetto Healthcare Inc.'s NPI number?

The NPI number for Palmetto Healthcare Inc. is 1366573438. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Waterbrooke Assisted Living.

Where is Palmetto Healthcare Inc. located?

Palmetto Healthcare Inc. is located at 703 Elizabeth St, Tabor City, NC 28463. The listed phone number is (910) 754-6621.

What is Palmetto Healthcare Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Palmetto Healthcare Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.