The Heritage Of Cedar Rock

LBN: The Heritage Of Cedar Rock
The Heritage Of Cedar Rock is an health care organization with primary practice located at 191 Crestview Dr , Mocksville NC 27028-2643. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Adult Care Home. Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty. The Heritage Of Cedar Rock can be contacted via phone (336) 751-1515, or through Pierce, Charles Vann via phone (336) 643-0555.

Contact Information

Primary practice address
191 Crestview Dr Mocksville NC 27028-2643
Fax: (336) 751-1621
Website:
Authorized official contact:
Name: Pierce, Charles Vann

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL030007 North Carolina
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X HAL-030-007 North Carolina

Profile Details

NPI number 1265608467
LBN Legal business name The Heritage Of Cedar Rock
DBA Doing business as
Authorized official Pierce, Charles Vann
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2008
Last updated Jun 26th, 2013 - about 11 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 1265608467 NPPES
North Carolina MEDICAID 7806011

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