Ocean Trail Convalescent Center, Inc.

LBN: Ocean Trail Convalescent Center, Inc.
Ocean Trail Convalescent Center, Inc. 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 / Skilled Nursing Facility, which is considered as the primary health care specialty. Ocean Trail Convalescent Center, Inc. can be contacted via phone (910) 457-9581, or through Elledge, Nick 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
Phone: (336) 679-8852

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0322 North Carolina

Profile Details

NPI number 1891761979
LBN Legal business name Ocean Trail Convalescent Center, Inc.
DBA Doing business as
Authorized official Elledge, Nick
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2006
Last updated Sep 4th, 2007 - about 18 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 1891761979 NPPES
North Carolina MEDICAID 3405373
North Carolina Other 0092M
North Carolina MEDICAID 3406253

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