SSC BREVARD OPERATING COMPANY LLC
Custodial Care Facility
Brevard, North Carolina
Provider NPI: 1811018757
Organization Information:Organization Name: SSC BREVARD OPERATING COMPANY LLC
Practice Location:
531 COUNTRY CLUB RD BREVARD, NC 28712 US
Tel: 828-884-2031 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
531 COUNTRY CLUB RD BREVARD, NC 28712 US
Tel: 828-884-2031 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | NH0277 |
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | NC | NH0277 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NC | NH0277 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
3418015 | NC | 05 | |
3426534 | NC | 05 | |
3435208 | NC | 05 | |
7804808 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin