Healthcare Provider Details

I. General information

NPI: 1851485098
Provider Name (Legal Business Name): GUILFORD HEALTH CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 05/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 WILLOW RD
GREENSBORO NC
27406-3831
US

IV. Provider business mailing address

2917 PENN FOREST BLVD
ROANOKE VA
24018-4374
US

V. Phone/Fax

Practice location:
  • Phone: 336-272-9700
  • Fax: 336-274-5924
Mailing address:
  • Phone: 540-989-3618
  • Fax: 540-774-9443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberNH0564
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberNH0564
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH0564
License Number StateNC

VIII. Authorized Official

Name: MR. CLAUDE NOVEL MARTIN III
Title or Position: CFO, MFA INC. GENERAL PARTNER
Credential:
Phone: 540-776-7526