MEDICARE: REDWOOD LTC GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	NH0229	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	00959	OTHER	NC	BC/BS OF NC
3	00959	OTHER	NC	STATE HEALTH PLAN #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962447565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDWOOD LTC GROUP, LLC

Provider Business Mailing Address
First Line	:	225 WHITE ST
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-6351
Country	:	US
Telephone Number	:	910-353-7222
Fax Number	:	910-353-8010

Provider Business Practice Location Address
First Line	:	225 WHITE ST
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-6351
Country	:	US
Telephone Number	:	910-353-7222
Fax Number	:	910-353-8010

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. KAREN G MCDANIEL
Credential	:
Telephone Number	:	252-523-9094

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	07/09/2021

Similar Medicare Providers

1730891466 — MORGAN FISHER WOODRUFF
Practice Location Address:

225 WHITE ST
JACKSONVILLE, NC
28546-6351

Practice Phone: 910-353-7222
Practice Fax:

1013913276 — DR. DANIEL M HAGAN DPM
Practice Location Address:

237 WHITE ST STE 2
JACKSONVILLE, NC
28546-6351

Practice Phone: 910-577-4977
Practice Fax: 910-577-4980

1285706853 — DR. ALBERT F CURSEEN M.D.
Practice Location Address:

237 WHITE ST , SUITE 1
JACKSONVILLE, NC
28546-6351

Practice Phone: 910-577-4968
Practice Fax: 910-577-2916

1356471767 — ANN REBECCA BARTHOLOMEW PA
Practice Location Address:

237 WHITE ST STE 1
JACKSONVILLE, NC
28546-6351

Practice Phone: 910-577-4968
Practice Fax: 910-577-2916

1952598385 — BRITTHAVEN, INC.
Practice Location Address:

225 WHITE ST
JACKSONVILLE, NC
28546-6351

Practice Phone: 910-353-7222
Practice Fax: 910-353-8010

1316125412 — DANIEL M. HAGAN
Practice Location Address:

237 WHITE ST STE 2
JACKSONVILLE, NC
28546-6351

Practice Phone: 910-577-4977
Practice Fax: 910-577-4980

Directions to “REDWOOD LTC GROUP, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.