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WATERBROOKE ASSISTED LIVING
NPI 1992843577
Custodial Care Facility - Adult Care Home in Tabor City, NC

Active since February 03, 2007
703 ELIZABETH ST, TABOR CITY, NC 28463(910) 653-6400 Get Directions Write a Review

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

About Waterbrooke Assisted Living NPPES

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

WATERBROOKE ASSISTED LIVING (NPI 1992843577) is a healthcare organization registered as an adult care home in Tabor City, North Carolina and active in the NPI registry since February 2007. The organization lists David B Goldston, President, as its authorized official.

NPPES Registry Identity

NPI1992843577
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameWATERSIDE HEALTHCARE INC.
Location Address703 ELIZABETH STTabor City, NC 28463-2603
Mailing AddressPo Box 1559Shallotte, NC 28459-1559 · (910) 754-6621
Phone(910) 653-6400
Organization SubpartNo
Authorized OfficialDavid B GoldstonPresident · (910) 754-6621
Enumeration DateFebruary 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1992843577 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 Identifiers 1

Medicaid7805373NC

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.

PALMETTO HEALTHCARE INC.
Custodial Care Facility (Adult Care Home)
703 ELIZABETH ST
TABOR CITY, NC 28463
Columbus County (910) 754-6621
RAINTREE HEALTHCARE OF TABOR CITY, LLC
Assisted Living Facility
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 Waterside Healthcare Inc.'s NPI number?

The NPI number for Waterside Healthcare Inc. is 1992843577. It was assigned to this organization in the NPPES registry on February 3, 2007. The provider is doing business as Waterbrooke Assisted Living.

Where is Waterside Healthcare Inc. located?

Waterside Healthcare Inc. is located at 703 Elizabeth St, Tabor City, NC 28463. The listed phone number is (910) 653-6400.

What is Waterside 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 Waterside 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 5 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.