Louisburg Manor

LBN: Trc Of Louisburg, Inc.
Louisburg Manor is an health care organization with primary practice located at 114 Smoketree Way , Louisburg NC 27549-2117. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Trc Of Louisburg, Inc. can be contacted via phone (919) 496-6084, or through Elledge, Nick via phone (336) 679-8852.

Contact Information

Primary practice address
114 Smoketree Way Louisburg NC 27549-2117
Fax: (919) 496-5458
Website:
Authorized official contact:
Name: Elledge, Nick

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X HAL-035-003 North Carolina

Profile Details

NPI number 1669449542
LBN Legal business name Trc Of Louisburg, Inc.
DBA Doing business as Louisburg Manor
Authorized official Elledge, Nick
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1669449542 NPPES
North Carolina MEDICAID 7801294

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