Healthcare Provider Details

I. General information

NPI: 1720088339
Provider Name (Legal Business Name): UNC ROCKINGHAM HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 05/11/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E KINGS HWY
EDEN NC
27288-5239
US

IV. Provider business mailing address

5221 PARAMOUNT PKWY STE 440
MORRISVILLE NC
27560-5491
US

V. Phone/Fax

Practice location:
  • Phone: 336-623-9711
  • Fax: 336-623-6735
Mailing address:
  • Phone: 984-971-1190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberH0072
License Number StateNC

VIII. Authorized Official

Name: MS. KAREN ANN SHADOWENS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 336-627-8512