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NPI Code Detail

MEDICARE: LAUREL HEALTH CARE COMPANY OF CHATHAM NORTH CAROLINA, INC

MEDICARE: LAUREL HEALTH CARE COMPANY OF CHATHAM NORTH CAROLINA, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1313M00000XNursing Facility/Intermediate Care FacilityNH0523NC
2314000000XSkilled Nursing FacilityNH0523NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NH0523OTHERNCNURSING HOME LICENSE #
20099MOTHERNCBLUE CROSS BLUE SHIELD #
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215982525
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAUREL HEALTH CARE COMPANY OF CHATHAM NORTH CAROLINA, INC
Provider Business Mailing Address
First Line : 8181 WORTHINGTON RD
Second Line :
City : WESTERVILLE
State : OH
Zip : 43082-8067
Country : US
Telephone Number : 614-794-8800
Fax Number : 614-794-8826
Provider Business Practice Location Address
First Line : 72 CHATHAM BUSINESS DR
Second Line :
City : PITTSBORO
State : NC
Zip : 27312-5687
Country : US
Telephone Number : 919-542-6677
Fax Number : 919-542-1803
Authorized Official
Title or Position : CFO
Name : ANIS KHAN
Credential :
Telephone Number : 614-794-8800
Provider Enumeration Date : 05/24/2006
Last Update Date : 01/03/2017

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Directions to “LAUREL HEALTH CARE COMPANY OF CHATHAM NORTH CAROLINA, INC ” Practice Location

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