Healthcare Provider Details

I. General information

NPI: 1164725198
Provider Name (Legal Business Name): STONECREEK HEALTH AND REHABILITATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2010
Last Update Date: 04/26/2022
Certification Date: 04/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 VICTORIA RD
ASHEVILLE NC
28801-4827
US

IV. Provider business mailing address

229 AIRPORT RD SUITE 7-104
ARDEN NC
28704-6402
US

V. Phone/Fax

Practice location:
  • Phone: 828-252-0099
  • Fax: 919-882-9771
Mailing address:
  • Phone: 919-608-9123
  • Fax: 919-882-9771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH0291
License Number StateNC

VIII. Authorized Official

Name: MR. CHRISTOHER JOHN SPRENGER
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 919-608-9123