Brockside Rehabilitation And Care

LBN: Senior Care Group Of Yancey Llc
Brockside Rehabilitation And Care is an health care organization with primary practice located at 310 Pensacola Rd , Burnsville NC 28714-3318. 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. Senior Care Group Of Yancey Llc can be contacted via phone (828) 682-9759, or through Vaughan, Robert Daniel via phone (813) 341-2700.

Contact Information

Primary practice address
310 Pensacola Rd Burnsville NC 28714-3318
Phone: (828) 682-9759
Fax: (828) 682-4096
Website:
Map and Directions
Authorized official contact:
Name: Vaughan, Robert Daniel
Phone: (813) 341-2700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0467 North Carolina

Profile Details

NPI number 1053395210
LBN Legal business name Senior Care Group Of Yancey Llc
DBA Doing business as Brockside Rehabilitation And Care
Authorized official Vaughan, Robert Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2005
Last updated Dec 23rd, 2009 - 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 1053395210 NPPES
North Carolina MEDICAID 3415305

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