North Carolina Department of Health and Human Services Division of Health Service Regulation Facility Data Text File ASCII File Format Delimited by quotes and commas Adult Care Licensure is responsible for Adult Care Homes, Developmentally Disabled, Family Care Homes Acute Care Licensure is responsible for Ambulatory Surgical, Cardiac Rehab, and Hospitals Home Care Licensure is responsible for Home Care, Hospice, and Nursing Pools Long Term Care Licensure is responsible for Nursing Facilities Mental Health Licensure is Private Psychiatric Hospitals, Mental Health Homes and Foster Care Camps *-!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! * NOTE: * As of May 6, 2002 the Adult Care License Number field has been removed. * The only field for any type of License Number is the field entitled * "License Number" field 20. The length of the field is C(12). *-!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! (T/F) is True or False Facility Data Text File Number of data records: 92 Today's Date: 04/04/2008 Type: C=Character, D=Date, L=Logical, N=Numeric, M=Memo Name Type Length Dec Description FID C 6 0 Facility Master File ID (system generated) STYPE C 60 0 Facility Service type FACILITY C 55 0 Facility Name FADDR1 C 35 0 Facility Mailing Address #1 FADDR2 C 35 0 Facility Mailing Address #2 FCITY C 30 0 Facility Mailing City FSTATE C 2 0 Facility Mailing State FZIP C 10 0 Faciltiy Mailing Zip FCOUNTY C 15 0 Facility County FPHONE C 13 0 Facility Phone FEXTEN C 4 0 Facility Extension FFAX C 13 0 Facility Fax Number OBN1 C 55 0 Other Business Name #1 OBN2 C 55 0 Other Business Name #2 SADDR C 55 0 Site Address SCITY C 30 0 Site City SSTATE C 2 0 Site State SZIP C 10 0 Site Zip ICF L 1 0 Intermediate Care Facility (T/F) LICNO C 12 0 License Number LICENSEE C 55 0 Licensee ODATE D 8 0 Original Licensing Date EFFECTIVE D 8 0 License Effective Date EXPIRES D 8 0 License Expires Date FULL L 1 0 Full License Status SAELIGIBLE L 1 0 Special Assistance - eligible for (Group Care) CAPACITY N 4 0 Capacity, Group Care Number of Beds NFTOTAL N 5 0 Total Nursing Home Beds (Nursing Facility) HATOTAL N 5 0 Total Home for the Aged Beds LTCTOTAL N 5 0 Number of Long Term Care beds for this facility HTOTAL N 5 0 Total Hospital Beds TOTALBEDS N 5 0 Total All Beds HGENLIC N 4 0 Total Hospital General Beds REHABHLIC N 4 0 Total Hospital Rehab Beds PSYLIC N 4 0 Total Hospital Psych Beds SALIC N 4 0 Total Hospital Substance Abuse Beds DETOXLIC N 4 0 Total Hospital Detox Beds HOSLIC N 4 0 Total Hospital Hospice Beds RSRCHLIC N 4 0 Total Hospital Research Beds OTHRHLIC N 4 0 Total Hospital Other Beds ALZLIC N 4 0 Total Alzheimer Beds HIVLIC N 4 0 Total HIV Beds REHABNLIC N 4 0 Total Nursing Home Rehab Beds TBILIC N 4 0 Total Traumatic Brain Injury Beds VENLIC N 4 0 Total Ventilator Beds OTHNFLIC N 4 0 Total Other Nursing Facility Beds NFGENLIC N 4 0 Total Nursing Facility General Beds HAALZLIC N 4 0 Total Home for the Aged Alzheimer Beds HAHIVLIC N 4 0 Total Home for the Aged HIV Beds HAGENLIC N 4 0 Total Home for the Aged General Beds RETIREBEDS N 4 0 Number of retirement beds in this bed record CONCARE L 1 0 Nursing Home - Continuing Care Community Service Provided ADCP L 1 0 Nursing Home - Adult Day Care Service Provided HOSPICE L 1 0 Nursing Homes - Hospice Service Provided RESPITE L 1 0 Nursing Home - Respite Service Provided REHAB L 1 0 Nursing Home - General Rehab Service Provided HOMECARE L 1 0 Flag to indicate homecare involvement necessary (Long Term Care) SUBACUBEDS N 6 0 Subacute Beds CONSUBACUT L 1 0 Flag indicating a C.O.N. has been issued to allow sub-acute beds (T/F) HCACAT L 1 0 Home Care - Home Care Category Service Provided (T/F) HOSCAT L 1 0 Home Care - Hospice Category Service Provided (T/F) NPCAT L 1 0 Home Care - Nursing Pool Category Service Provided (T/F) NSGSVCS L 1 0 Flag to indicate nursing services are provided NSGINTSV L 1 0 Intermittent Nursing Service Provided (Home Care) (T/F) NSGPDSV L 1 0 Private Duty Nursing Service Provided (Home Care) (T/F) IVSV L 1 0 Infusion Nursing Service Provided (Home Care) (T/F) AIDESV L 1 0 In-home Aide Service Provided (Home Care) (T/F) SWSV L 1 0 Medical Social Services Provided (Home Care) (T/F) PTSV L 1 0 Pulmonary Care Services Provided (Home Care) (T/F) OTSV L 1 0 Occupational Therapy Services Provided (Home Care) (T/F) SPSV L 1 0 Speech Therapy Services Provided (Home Care) (T/F) PMSV L 1 0 Pulmonary Care Services Provided (Home Care) (T/F) DMESV L 1 0 Durable Medical Equipment Services Provided (Home Care) (T/F) SPLYSV L 1 0 Supply services (no longer used) NSGPOOL L 1 0 Nursing Pool Service Provided (Home Care) (T/F) POOLAIDE L 1 0 Pool Aide Services Provided (Home Care) (T/F) HHASV L 1 0 Home Care - Home Health Services Provided (T/F) HHANO C 10 0 Home Care - Medicare/caid Provider Number (Certification's ID) HOSNO C 10 0 Home Care - Medicare/caid Hospice Provider Number (Certification's ID) HPBEDS N 4 0 Hospice Inpatient Beds HRBEDS N 4 0 Hospice Resident Beds HOSSV L 1 0 Hospice Home Services Provided (T/F) ADMNAME C 55 0 Administrator - Full Name ADMPHONE C 14 0 Administrator - Phone DONNAME C 55 0 Director of Nursing - Full Name MGMTNAME C 55 0 Management Company - Name MGMTADDR C 100 0 Management Company Address PARNAME C 55 0 Parent Company - Name PARADDR C 100 0 Parent Company Address OWNER C 55 0 Owner Name OWNERADDR C 100 0 Owner Address HOLDSTYPE C 10 0