Courtland Terrace

LBN: Caromont Health Services Inc.
Courtland Terrace is an health care organization with primary practice located at 2300 Aberdeen Blvd , Gastonia NC 28054-0613. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Caromont Health Services Inc. can be contacted via phone (704) 834-4800, or through Shovelin, Wayne F. via phone (704) 834-2121.

Contact Information

Primary practice address
2300 Aberdeen Blvd Gastonia NC 28054-0613
Phone: (704) 834-4800
Fax: (704) 834-4812
Website:
Map and Directions
Authorized official contact:
Name: Shovelin, Wayne F.
Phone: (704) 834-2121

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0494 North Carolina

Profile Details

NPI number 1073599510
LBN Legal business name Caromont Health Services Inc.
DBA Doing business as Courtland Terrace
Authorized official Shovelin, Wayne F.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2005
Last updated Sep 11th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073599510 NPPES
North Carolina MEDICAID 3405350
North Carolina MEDICAID 3406314
North Carolina MEDICAID 7802312

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