Ocean Trail Convalescent Center

LBN: Ocean Trail Convalescent Center
Ocean Trail Convalescent Center is an health care organization with primary practice located at 630 N Fodale Ave , Southport NC 28461-3538. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Ocean Trail Convalescent Center can be contacted via phone (910) 457-9581, or through Elledge, Nick W via phone (336) 679-8852.

Contact Information

Primary practice address
630 N Fodale Ave Southport NC 28461-3538
Phone: (910) 457-9581
Fax: (910) 457-9583
Website:
Map and Directions
Authorized official contact:
Name: Elledge, Nick W
Phone: (336) 679-8852

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X NH0322 North Carolina

Profile Details

NPI number 1699961540
LBN Legal business name Ocean Trail Convalescent Center
DBA Doing business as
Authorized official Elledge, Nick W
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2007
Last updated Jun 23rd, 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 1699961540 NPPES
North Carolina MEDICAID 7801188

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