Eagle Peak Ltc Group, Llc in Enfield - Skilled Nursing Facility
Eagle Peak Ltc Group, Llc - NPI 1821024274
Eagle Peak Ltc Group, Llc is a Skilled Nursing Facility in Enfield, North Carolina. Eagle Peak Ltc Group, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Eagle Peak Ltc Group, Llc is 1821024274. The last update date is 2020-03-24.
Eagle Peak Ltc Group, Llc's current location address is 208 Cary St, Enfield, North Carolina. You can contact this provider via phone number 2524452111 and fax number 2524455646. The mailing address for Eagle Peak Ltc Group, Llc is 208 Cary St, Enfield, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eagle Peak Ltc Group, Llc |
|---|---|
| Address | 208 Cary St, Enfield, North Carolina |
| Phone Number | 2524452111 |
| Fax Number | 2524455646 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Boice Gale |
| Telephone Number | 2525239094 |
NPI Number Detail
| NPI Number | 1821024274 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2020-03-24 |
Provider Mailing Address Detail
| Address | 208 Cary St |
|---|---|
| City | Enfield |
| State | North Carolina (NC) |
| Post Code | 278231204 |
| Phone Number | 2524452111 |
| Fax Number | 2524455646 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | NH0037 |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3425101 | NC | -- | |
| 3415101 | NC | -- | |
| 91-0085D | NC | STATE HEALTH PLAN | |
| 0085D | NC | BC/BS OF NC | |
| 3416559 | NC | -- |
Post Comment/ Review Below
What is the Eagle Peak Ltc Group, Llc's 1821024274?
The Eagle Peak Ltc Group, Llc's NPI (National Provider Identifier) Number is 1821024274. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Eagle Peak Ltc Group, Llc's physical address?
The Eagle Peak Ltc Group, Llc is physically located at 208 Cary St, in the city of Enfield, NC, with the postal code 278231204.
What is Eagle Peak Ltc Group, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Eagle Peak Ltc Group, Llc's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821024274 to Eagle Peak Ltc Group, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1821024274 to Eagle Peak Ltc Group, Llc on 2006-06-25.
As of what date was the information regarding Eagle Peak Ltc Group, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Eagle Peak Ltc Group, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-03-24.