Whitestone: A Masonic And Eastern Star Community

LBN: Masonic And Eastern Star Home Of North Carolina, Incorporated
Whitestone: A Masonic And Eastern Star Community is an health care organization with primary practice located at 700 S Holden Rd , Greensboro NC 27407-2321. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Masonic And Eastern Star Home Of North Carolina, Incorporated can be contacted via phone (336) 299-0031, or through Jernigan, Eugene via phone (336) 299-0031.

Contact Information

Primary practice address
700 S Holden Rd Greensboro NC 27407-2321
Phone: (336) 299-0031
Fax: (336) 547-2999
Website:
Map and Directions
Authorized official contact:
Name: Jernigan, Eugene
Phone: (336) 299-0031

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH0141 North Carolina
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0141 North Carolina

Profile Details

NPI number 1548230188
LBN Legal business name Masonic And Eastern Star Home Of North Carolina, Incorporated
DBA Doing business as Whitestone: A Masonic And Eastern Star Community
Authorized official Jernigan, Eugene
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2006
Last updated May 22nd, 2014 - about 11 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 1548230188 NPPES
North Carolina MEDICAID 3415506
North Carolina Other 22871
North Carolina MEDICAID 340614P
North Carolina MEDICAID 7806239

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