Medicaid Reimbursement Rates for Nursing Facilities Effective date April 1, 2017

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1 Medicaid Reimbursement Rates for Nursing Facilities Effective date April 1, 2017 NPI FACILITY Rates Effective 4/1/ Alamance Health Care Center $ Alexandria Place $ Alston Brook $ The Margate Health & Rehab Center $ Asheville Health Care Center $ Aston Park Health Care, Inc. $ Autumn Care Of Biscoe $ Autumn Care Of Drexel $ Fair Haven at Forest City $ Autumn Care Of Marion $ Autumn Care Of Marshville $ Autumn Care Of Mocksville $ Autumn Care Of Myrtle Grove $ Autumn Care Of Nash $ Autumn Care Of Raeford $ Rich Square Health Care Center $ Autumn Care Of Salisbury $ Autumn Care Of Saluda $ Autumn Care Of Shallotte $ Autumn Care Of Statesville $ Autumn Care Of Waynesville $ Avante At Charlotte, Inc. $ Avante At Concord, Inc. $ Avante At Reidsville, Inc. $ Avante At Wilkesboro, Inc. $ Avante At Wilson, Inc. $ Brookridge Retirement Community $ Bayview Nursing & Rehabilitation Center $ Belaire Health Care Center $ Bethesda Health Care Facility $ Golden Living Center - Asheville $ Golden Living Center-Charlotte $ Golden Living Center -Greensboro $ Golden Living Center - Greenville $ Beverly Living Center - Hendersonville $ Golden Living Center - Lumberton $ Golden Living Center - Dartmouth $ Golden Living Center - Starmount $ Golden Living Center - Tarboro $ The Lodge at Mills River $ Big Elm Retirement And Nursing Ctr, Inc $ Healthtique Asheville $

2 Blumenthal Jewish Nursing & Rehab Center $ Brian Center Health & Rehab/Brevard $ Brian Center Health & Rehab/Charlotte $ Brian Center Health & Rehab/Durham $ Brian Center Health & Rehab/Eden $ Brian Center Health & Rehab/Gastonia $ Brian Center Health & Rehab/Goldsboro $ Brian Center Health & Rehab/Hertford $ Brian Center Health & Rehab/Hickory East $ Brian Center Health & Rehab/Salisbury $ Brian Center Health & Rehab/Spruce Pine $ Brian Center Health & Rehab/Statesville $ Brian Center Health & Rehab/Wallace $ Brian Center Health & Rehab/Waynesville $ Brian Center Health & Rehab/Weaverville $ Brian Center Health & Rehab/Wilson $ Brian Center Health & Rehab/Windsor $ Brian Center Health & Rehab/Yanceyville $ Brian Center Health & Retire/Cabarrus $ Brian Center Health & Retire/Clayton $ Brian Center Health & Retire/Lincolnton $ Brian Center Health & Retire/Monroe $ Brian Center Health & Retire/Mooresville $ Brian Center Hlth & Rehab/Hendersonville $ Brian Center Hth & Rehab/ Winston-Salem $ Brian Center Health & Rehab / Hickory Viewmo $ Brian Center Nursing Care/Lexington $ Brian Center Nursing Care/Shamrock $ Brightmoor Nursing Center $ Britthaven Of Chapel Hill $ Ayden Court Nursing and Rehabilitation Center $ University Place Nursing and Rehabiliation Center $ Pine Ridge Health and Rehabilitation Center $ Chowan River Nursing and Rehabilitation Center $ Enfield Oaks Nursing and Rehabilitation Center $ Macon Valley Nursing and Rehabilitation Center $ Willow Creek Nursing and Rehabilitation Center $ Graham Healthcare and Rehabilitation Center $ Greenhaven Health and Rehabilitation Center $ Richmond Pines Heathcare and Rehabilitation Center $ Harnett Woods Nursing and Rehabilitation Center $ Cherry Point Bay Nursing and Rehabilitation Center $ Kerr Lake Nursing and Rehabilitation Center $ Premier Nursing and Rehabilitation Center $ Piney Grove Nursing and Rehabilitation Center $ Harmony Hall Nursing and Rehabilitation Center $ Franklin Oaks Nursing and Rehabilitation Center $

3 Jacob's Creek Nursing and Rehabilitation Center $ Magnolia Lane Nursing and Rehabilitation Center $ Riverpoint Crest Nursing and Rehabilitation Center $ Croatan Ridge Nursing and Rehabilitation Center $ NorthChase Nursing and Rehabilitation Center $ Carolina Rivers Nursing and Rehabilitation Center $ Peak Resources Outer Banks $ Grantsbrook Nursing and Rehabilitation Center $ Bethany Woods Nursing and Rehabilitation Center $ Barbour Court Nursing and Rehabilitation Center $ Greendale Forest Nursing and Rehabilitation Center $ River Trace Nursing and Rehabilitation Center $ Westwood Hills Nursing and Rehabilitation Center $ Wilson Pines Nursing and Rehabilitation Center $ Brookshire Nursing Center $ Brookside Rehab & Care $ Brunswick Cove Nursing Center $ Hickory Falls Health and Rehabilitation $ Cumberland Nursing and Rehabilitation Center $ Maggie Valley Nursing and Rehabilitation $ Cardinal Healthcare & Rehab Center $ Carolina Care Center Of Cherryville $ Maple Grove Health and Rehabilitation Center $ Carolina Health Care Ctr. Of Cumberland $ Capital Nursing and Rehabilitation $ Carolina Rehab Center Of Burke $ Carrington Place $ Carver Living Center $ Cary Health & Rehab Center $ Central Continuing Care $ Peak Resources - Cherryville $ Haymount Rehab & Nursing Center $ Peak Resources - Gastonia $ Scottish Pines Rehabilitation and Nursing Center $ Peak Resources - Shelby $ Crystal Bluffs Rehabilitation & Health Care Center $ Signature HealthCARE of Chapel Hill $ Charlotte Health Care Center $ Tower Nursing and Rehabilitation Center $ Clapp's Convalescent Nursing Home, Inc. $ Clay County Care Center $ Regency Care of Clemmons $ College Pines Nursing Center $ Conover Nursing & Rehab Center $ Liberty Commons N&R Ctr. Of Halifax Cty $ Westfield Rehabilitation and Health Center $ Countryside Manor, Inc $

4 Courtland Terrace $ Croasdaile Village $ Cross Creek Health Care $ Cypress Pointe Rehabilitation Center $ Davis Health Care Center $ Down East Living & Rehab Center $ Cornerstone Nursing and Rehabilitation Center $ Edgewood Place At The Village-Brookwood $ Elderberry Health Care $ Peak Resources - Charlotte $ Elizabethtown Nursing Center, Inc. $ PruittHealth-Elkin $ Emerald Ridge Rehab & Care Center $ PruittHealth-Durham LLC $ Fair Haven Home, Inc. $ PruittHealth-Farmville $ Five Oaks Manor $ Flesher'S Fairview Healthcare Center $ Forrest Oakes Healthcare Center $ Fountains At The Albemarle $ Friends Homes - Guilford $ Gateway Rehabilitation and Healthcare $ Mooresville Center $ Salisbury Center $ Givens Health Center $ Glenaire, Inc. $ Glenbridge Health And Rehabilitation $ Warsaw Health and Rehab $ Glenflora $ Golden Years Nursing Home $ Grace Heights $ Graybrier Nursing And Retirement Center $ Greenfield Place, Llc $ Creekside Care and Rehabilitation Center $ Guardian Care Of Elizabeth City $ Kindred Nursing and Rehabilitation-Henderson $ Kenansville Health & Rehab Center $ Signature HealthCARE of Roanoke Rapids $ Rocky Mount Rehabilitation center $ Scotland Manor Healthcare Center $ Zebulon Rehabilitation Center $ Guilford Health Care Center $ Northhampton Nursing and Rehabilitation Center $ Harborview Rehabilitation and Healthcare $ Universal Health Care Lillington $ Mountain Home Health and Rehab $ Ambassador Health & Rehab of Wadesboro LLC $

5 PruittHealth-High Point $ Givens Highland Farms $ Highland House Rehabilitation and Healthcare $ Hillcrest Convalescent Center, Inc. $ Hillside Nursing Center $ Hunter Woods Nursing And Rehab Center $ Huntersville Oaks $ The Village of Campbell $ The Oaks-Brevard $ Abernethy Laurels $ Kingswood Nursing Center, Inc. $ Signature HealthCARE of Kinston $ Lake Park Nursing And Rehab Center $ Healthtique Durham $ Lenoir Healthcare Center $ Lexington Health Care Center $ Liberty Commons N&R Ctr Of Columbus Cty $ Royal Park Rehabilitation & Health Center of Matthews $ Liberty Commons N&R Ctr. Of Alamance Cty $ Liberty Commons N&R Ctr. Of Johnston Cty $ Liberty Commons N&R Ctr. Of Lee County $ Liberty Commons N&R Ctr. Of Rowan County $ Liberty Commons Rehabilitation Center $ Avante at Thomasville $ Life Care Center Of Banner Elk $ Life Care Center Of Hendersonville $ Lincolnton Rehabilitation Center $ Highland Acres Nursing and Rehabilitation Center $ Litchford Falls Healthcare & Rehab $ Louisburg Healthcare and Rehabilitation Center $ Lutheran Home - Albemarle, Inc. $ Trinity Ridge $ Trinity Village $ Trinity Glen $ Lutheran Home At Trinity Oaks, Inc. $ Madison Manor Rehabilitation and Nursing Center $ Magnolia Estates Skilled Care Facility $ Stone Creek Health and Rehabilitation $ Manor Care Of Pinehurst $ Maple Leaf Health Care $ Randolph Health and Rehab Center $ Wilmington Health and Rehabilitation Center $ Mary Gran Nursing Center $ Maryfield Nursing Home $ WhiteStone: A Masonic and Eastern Star Community $ The Oaks at Whitaker Glen-Mayview $ Meadowwood Nursing Center, Inc. $

6 Mecklenburg Health and Rehabilitation Center $ Mountain Ridge Wellness Center $ Blue Ridge on the Mountain $ Mountain View Manor $ Mountain Vista Health Park $ Universal Health Care - Nashville $ Hunter Hills Nursing and Rehabilitation Center $ PruittHealth-Trent $ Oak Forest Health and Rehabilitation $ Oak Grove Health Care Center $ Ocean Trail Convalescent Center, Inc. $ Universal Health Care Oxford $ Hendersonville Health and Rehabilitation $ Emerald Health & Rehab Center $ Penick Village $ Penn Nursing Center $ Pettigrew Rehabilitation Center $ Pinehurst Nursing Center, Inc. $ Peak Resources - Pinelake $ Pineville Rehab & Living Center $ Pisgah Manor, Inc. $ Roanoke Landing Nursing and Rehabilitation Center $ Premier Living And Rehab Center $ Presbyterian Home Of Hawfields, Inc. $ Quail Haven Healthcare Center of Pinehurst $ Raleigh Rehabilitation Center $ Gastonia Care and Rehabilitation $ Peak Resources Alamance $ Rehab Health Care Center-Village Green $ Monroe Rehabilitation center $ Rex Nursing Care Center Of Apex $ Rickman Nursing Care Center $ Ridgewood Living & Rehabilitation Center $ River Landing At Sandy Ridge $ PruittHealth-Rockingham $ Rose Manor Healthcare Center $ Roxboro Nursing Center, Inc. $ Salemtowne $ Sanford Health And Rehabilitation $ Sardis Oaks $ Saturn Nursing And Rehabilitation $ Scotia Village $ Senior Citizen's Home, Inc. $ Sentara Nursing Center-Currituck $ Shaire Nursing Center $ Shoreland Healthcare $ Silas Creek Rehabilitation Center $

7 Silver Bluff, Inc. $ Skyland Care Center $ Smithfield Manor $ Rocky Mount Health and Rehabilitation LLC $ Southwood Nursing & Retirement Center $ Liberty Commons Nursing and Rehabilitation Center of Springwood LLC $ St Joseph Of The Pines $ Stanley Total Living Center $ Stanly Manor,Inc. $ Alleghany Care and Rehabilitation Center $ Woodland Hill Care and Rehabilitation Center $ Poplar Heights Care and Rehabilitation Center $ Abbotts Creek Care and Rehabilition Center $ Mount Olive Care and Rehabilitation Center $ Pembroke Care and Rehabilitation Center $ Siler City Care and Rehabilitation Center $ Triad Care and Rehabilitation Center $ Sunnybrook Rehabilitation Center $ Sunrise Rehabilitation Center $ Golden Living Center - Surry Community $ Universal Health Care Greenville $ Tarboro Nursing Center $ PruittHealth-SeaLevel $ The Oaks at Town Center $ The Laurels Of Chatham $ The Laurels Of Forest Glenn $ The Laurels Of Greentree Ridge $ The Laurels Of Hendersonville $ The Laurels Of Salisbury $ The Laurels Of Summit Ridge $ The Oaks $ The Oaks At Sweeten Creek $ Three Rivers Health And Rehab Center $ Ths Of Kannapolis $ Trent Village Nursing Home $ Peak Resources - Treyburn $ Twin Lakes Community $ PruittHealth-Neuse $ Ucrh, Inc. Piedmont Center $ Universal Healthcare - King $ Universal Healthcare - North Raleigh $ Universal Healthcare And Rehabilitation $ Universal Healthcare Of Fletcher $ Universal Healthcare Of Ramseur $ Valley Nursing Center $ Valley View Care & Rehab Center $ Village Care Of King $

8 Elizabeth City Health and Rehabilitation Center $ Walnut Cove Healthcare Center $ Warren Hills Nursing Center $ Wellington Nursing and Rehab Center $ Wesley Pines $ Westchester Manor At Providence Place $ Westwood Health & Rehab Center $ Whispering Pines Nursing Home $ White Oak Manor Burlington Inc $ White Oak Manor Charlotte Inc $ White Oak Manor Kings Mountain Inc $ White Oak Manor Rutherfordton Inc $ White Oak Manor Shelby Inc $ White Oak Manor Tryon Inc $ Wilkes Senior Village $ Roanoke River Nursing and Rehabilitation Center $ Willow Ridge Of North Carolina, Llc $ Willowbrook Healthcare Center $ DLP Wilmed Nursing Care and Rehabilitation Ctr Inc $ Wilora Lake Healthcare Center $ Healthtique Winston-Salem $ Woodbury Wellness Center $ Woodlands Assisted Living & Rehab Center $ Yadkin Nursing Care Center, Inc. $ Anson Health and Rehabilitation, LLC $ Blowing Rock Rehab Davant Extended Care Ctr $ Brantwood Nursing & Retirement Center $ Cleveland Pines $ Edwin Morgan Center/Scotland Mem Hosp $ Highlands-Cashiers Hospital - Nf $ Hugh Chatham Memorial Hospital $ Iredell Memorial Hospital, Incorporated $ J. Arthur Dosher Memorial Hospital-Nf $ Kindred Hospital-Greensboro $ Lenoir Memorial Hospital-Nf $ Morehead Nursing Center $ Heartland Living & The Moses H Cone Mem $ Murphy Medical Center $ Northern Hospital Of Surry County-Ltc $ Our Community Hospital-Ltc $ Pender Memorial Hospital Snf $ Person Memorial Hospital $ Rex Rehab And Nursing Care Center $ Sampson Regional Medical Center $ Stokes County Nursing Home $ Jesse Helms Nursing Center $ Wakemed Fuquay Varina $

9 Woodhaven Nursing & Alzheimer's Care Ctr $ CLAPP'S NURSING CENTER, INC. $ Hillcrest Raleigh at Crabtree Valley $ Adams Farm and Living Rehab $ Smoky Mountain Health and Rehabilitation Center $ Snug Harbor $ Silver Stream Health & Rehab Center $ Transylvania Regional Hospital Inc $ Wake Med For Zebulon $ Wilkes Regional Medical Center $ PruittHealth-Raleigh $ Olde Knox Commons $ Bermuda Commons $ Twin Lakes Community Memory Care $ Camden Place Health and Rehab LLC $ Universal Healthcare / Brunswick Inc. $ Ashton Place Health and Rehab, LLC $ White Oak of Waxhaw $ The Shannon Gray Rehab & Recovery Center $ PruittHealth-Carolina Point $ Autumn Care of Fayetteville $ Trinity Grove $ Presbyterian Orthopaedic Hospital, LLC $ Azalea Health and Rehab Center $ Univerasal Healthcare/Fuquay-Varina $ Pavillion Health Center at Brightmore $ Clear Creek Nursing & Rehabilitation Center $ PruittHealth-Union Pointe $ Autumn Care of Cornelius $ Trinity Elms $ Davis Health and Wellness Center at Cambridge Village $ Springbrook Nursing and Rehabilitation Center $ Huntersville Nursing and Rehabilitation Center $

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