Mount Olive Center

LBN: Sunbridge Regency - North Carolina, Llc.
Mount Olive Center is an health care organization with primary practice located at 228 Smith Chapel Rd , Mount Olive NC 28365-1917. 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. Sunbridge Regency - North Carolina, Llc. can be contacted via phone (919) 658-9522, or through Divittorio, Thomas via phone (610) 444-6350.

Contact Information

Primary practice address
228 Smith Chapel Rd Mount Olive NC 28365-1917
Phone: (919) 658-9522
Fax: (919) 658-5893
Website:
Map and Directions
Authorized official contact:
Name: Divittorio, Thomas
Phone: (610) 444-6350

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0401 North Carolina

Profile Details

NPI number 1649224056
LBN Legal business name Sunbridge Regency - North Carolina, Llc.
DBA Doing business as Mount Olive Center
Authorized official Divittorio, Thomas
Entity Organization
Organization subpart 1 Yes
Enumeration date May 20th, 2006
Last updated Mar 27th, 2015 - about 9 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 1649224056 NPPES
North Carolina MEDICAID 3426287
North Carolina Other 345126
North Carolina MEDICAID 3435126
North Carolina Other 71-08310
North Carolina Other 0088K
North Carolina Other 0088K
North Carolina Other 17968.

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