Colony Ridge Nursing And Rehabilitation Center

LBN: Tar River Ltc Group, Llc
Colony Ridge Nursing And Rehabilitation Center is an health care organization with primary practice located at 430 W Health Center Dr , Nags Head NC 27959-8943. 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. Tar River Ltc Group, Llc can be contacted via phone (252) 441-3116, or through Uzzell, Norwood Randolph via phone (252) 523-9094.

Contact Information

Primary practice address
430 W Health Center Dr Nags Head NC 27959-8943
Phone: (252) 441-3116
Fax: (252) 441-0247
Website:
Map and Directions
Authorized official contact:
Name: Uzzell, Norwood Randolph
Phone: (252) 523-9094

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0372 North Carolina

Profile Details

NPI number 1356386445
LBN Legal business name Tar River Ltc Group, Llc
DBA Doing business as Colony Ridge Nursing And Rehabilitation Center
Authorized official Uzzell, Norwood Randolph
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Jun 1st, 2011 - about 13 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 1356386445 NPPES
North Carolina MEDICAID 3406309
North Carolina MEDICAID 3415226
North Carolina Other 00965
North Carolina MEDICAID 7802299
North Carolina MEDICAID 3425226

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