Provider Demographics
NPI:1033281431
Name:SENIOR MANAGEMENT SOLUTIONS, INC.
Entity Type:Organization
Organization Name:SENIOR MANAGEMENT SOLUTIONS, INC.
Other - Org Name:CROATAN VILLAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BATEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-232-1980
Mailing Address - Street 1:4522 OLD CHERRY POINT RD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-8012
Mailing Address - Country:US
Mailing Address - Phone:252-634-9066
Mailing Address - Fax:252-638-9038
Practice Address - Street 1:4522 OLD CHERRY POINT RD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-8012
Practice Address - Country:US
Practice Address - Phone:252-634-9066
Practice Address - Fax:252-638-9038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-025-020310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7804826Medicaid