Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareSSC STATESVILLE BRIAN CENTER OPERATING COMPANY LLC
Custodial Care Facility
Statesville, North Carolina
Provider NPI: 1194845172
Organization Information:Organization Name: SSC STATESVILLE BRIAN CENTER OPERATING COMPANY LLC
Practice Location:
520 VALLEY ST STATESVILLE, NC 28677 US
Tel: 704-873-0517 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:
520 VALLEY ST STATESVILLE, NC 28677 US
Tel: 704-873-0517 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | NH0176 |
| N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | NC | NH0176 |
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NC | NH0176 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 3435128 | NC | 05 | |
| MEDICAID ICF | 3436068 | NC | 01 |
| MEDICAID REST HOME | 7805464 | NC | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin