Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareSSC STATESVILLE MAPLE LEAF OPERATING COMPANY LLC
Custodial Care Facility
Statesville, North Carolina
Provider NPI: 1992825848
Organization Information:Organization Name: SSC STATESVILLE MAPLE LEAF OPERATING COMPANY LLC
Practice Location:
1101 MAPLE CARE LANE STATESVILLE, NC 28625 US
Tel: 704-871-0705 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:
1101 MAPLE CARE LANE STATESVILLE, NC 28625 US
Tel: 704-871-0705 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | NH0488 |
| N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | NH0488 |
| N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | NC | NH0488 |
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NC | NH0488 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 3425340 | NC | 05 | |
| 3426265 | NC | 05 | |
| 7801592 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin