Provider Demographics
NPI:1457494387
Name:GENJOY CARE COMMUNITIES, INC
Entity Type:Organization
Organization Name:GENJOY CARE COMMUNITIES, INC
Other - Org Name:CANTERBURY HILLS ADULT CARE HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:WRIGHT-BROWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-670-8895
Mailing Address - Street 1:PO BOX 1180
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-1180
Mailing Address - Country:US
Mailing Address - Phone:828-670-8895
Mailing Address - Fax:828-670-8894
Practice Address - Street 1:18 HORSE BARN ROAD
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715
Practice Address - Country:US
Practice Address - Phone:828-670-8895
Practice Address - Fax:828-670-8894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-011-031311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7803480Medicaid