Healthcare Provider Details

I. General information

NPI: 1972071033
Provider Name (Legal Business Name): ACCORDIUS HEALTH AT STATESVILLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2018
Last Update Date: 07/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 VALLEY ST
STATESVILLE NC
28677-7935
US

IV. Provider business mailing address

440 SYLVAN AVE STE 240
ENGLEWOOD CLIFFS NJ
07632-2700
US

V. Phone/Fax

Practice location:
  • Phone: 704-519-2500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BATYA GORELICK
Title or Position: VP OF ADMINISTRATIVE SERVICES
Credential:
Phone: 704-519-2500