Pettigrew Rehabilitation Center
LBN: Pettigrew Rehabilitation Center, Llc
Pettigrew Rehabilitation Center is an health care organization with primary practice located at 1515 W Pettigrew St , Durham NC 27705-4821. 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.
Pettigrew Rehabilitation Center, Llc can be contacted via phone (919) 286-0751, or through Cronquist, R. Mark via phone (404) 574-2100.
Contact Information
Primary practice address
1515 W Pettigrew St
Durham NC 27705-4821
Phone: (919) 286-0751
Fax: (919) 286-7065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | ||
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | NH0119 | North Carolina |
Profile Details
| NPI number | 1144646274 |
|---|---|
| LBN Legal business name | Pettigrew Rehabilitation Center, Llc |
| DBA Doing business as | Pettigrew Rehabilitation Center |
| Authorized official | Cronquist, R. Mark |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 13th, 2014 |
| Last updated | Sep 29th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144646274 | NPPES |
| North Carolina | MEDICAID | 1144646274 |
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