Ocean Trail Convalescent Center in Southport - Adult Care Home
Ocean Trail Convalescent Center - NPI 1699961540
Ocean Trail Convalescent Center is a Adult Care Home in Southport, North Carolina. Ocean Trail Convalescent Center practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Ocean Trail Convalescent Center is 1699961540. The last update date is 2008-06-23.
Ocean Trail Convalescent Center's current location address is Po Box 10249, Southport, North Carolina. You can contact this provider via phone number 9104579581 and fax number 9104579583. The mailing address for Ocean Trail Convalescent Center is Po Box 10249, Southport, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ocean Trail Convalescent Center |
|---|---|
| Address | Po Box 10249, Southport, North Carolina |
| Phone Number | 9104579581 |
| Fax Number | 9104579583 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Elledge W Nick |
| Telephone Number | 3366798852 |
NPI Number Detail
| NPI Number | 1699961540 |
|---|---|
| Provider Enumeration Date | 2007-09-24 |
| Last Updated Date | 2008-06-23 |
Provider Mailing Address Detail
| Address | Po Box 10249 |
|---|---|
| City | Southport |
| State | North Carolina (NC) |
| Post Code | 284610249 |
| Phone Number | 9104579581 |
| Fax Number | 9104579583 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | NH0322 |
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Definition: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7801188 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ocean Trail Convalescent Center by the Centers for Medicare & Medicaid Services?
The Ocean Trail Convalescent Center has been assigned the NPI (National Provider Identifier) 1699961540. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Ocean Trail Convalescent Center's facilities are geographically located?
The facilities of Ocean Trail Convalescent Center are physically situated at the following location: Po Box 10249, Southport, NC, 284610249.
What is the Ocean Trail Convalescent Center's specialty and taxonomy code?
The Ocean Trail Convalescent Center's specialty is Adult Care Home, and the corresponding taxonomy code is 311Za0620X.
On what date was the 1699961540 assigned to Ocean Trail Convalescent Center?
The Ocean Trail Convalescent Center was issued its 1699961540 on 2007-09-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Ocean Trail Convalescent Center most recently updated?
The details pertaining to the Ocean Trail Convalescent Center, including its address, specialty, and other relevant information, were last refreshed on 2008-06-23.