Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Waterside Healthcare Inc

Organization Adult Care Home Facility · NPI 1467590042

Waterside Healthcare Inc is an Adult Care Home Facility in Shallotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

520 Mulberry St
Shallotte, NC 28470-4586
Phone: (910) 754-6621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence HAL-010-004 (NC)

Record details

NPI number1467590042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Goldston — President · (910) 754-6621
Other names Shallotte Assisted Living
NPI enumeratedFebruary 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1559, Shallotte, NC 28459-1559

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