Healthcare Provider Details

I. General information

NPI: 1063919652
Provider Name (Legal Business Name): ACCORDIUS HEALTH AT BREVARD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2018
Last Update Date: 01/03/2023
Certification Date: 01/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 N COUNTRY CLUB RD
BREVARD NC
28712-8990
US

IV. Provider business mailing address

212 2ND ST STE 501
LAKEWOOD NJ
08701-3424
US

V. Phone/Fax

Practice location:
  • Phone: 828-884-2031
  • Fax: 718-567-0600
Mailing address:
  • Phone: 732-497-1150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNC

VIII. Authorized Official

Name: MOSHE HERBSTMAN
Title or Position: CFO
Credential:
Phone: 732-497-1150