Healthcare Provider Details

I. General information

NPI: 1548293988
Provider Name (Legal Business Name): BEYSTONE HEALTH AND REHABILITATION CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 04/26/2022
Certification Date: 04/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5593 OLD HAYWOOD RD
MILLS RIVER NC
28759-7502
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 919-608-9123
  • 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 NumberNH0394
License Number StateNC

VIII. Authorized Official

Name: CHRISTOPHER JOHN SPRENGER
Title or Position: PRESIDENT
Credential:
Phone: 919-608-9123