MEDICARE: BRUNSWICK COVE 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
1	314000000X	Skilled Nursing Facility	NH0478	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730178351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRUNSWICK COVE INC

Provider Business Mailing Address
First Line	:	1478 RIVER RD SE
Second Line	:
City	:	WINNABOW
State	:	NC
Zip	:	28479-5819
Country	:	US
Telephone Number	:	910-371-9894
Fax Number	:	910-371-9609

Provider Business Practice Location Address
First Line	:	1478 RIVER RD SE
Second Line	:
City	:	WINNABOW
State	:	NC
Zip	:	28479-5819
Country	:	US
Telephone Number	:	910-371-9894
Fax Number	:	910-371-9609

Authorized Official
Title or Position	:	CONSULTANT
Name	:	MR. ZACHARY BLUE MILLER
Credential	:
Telephone Number	:	910-371-9894

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1881750347 — MS. SUZANNE LENORE WALKER MS, LCMHC
Practice Location Address:

1232 BIRKDALE DR
WINNABOW, NC
28479-5695

Practice Phone: 910-568-9959
Practice Fax:

1952446510 — BRUNSWICK COVE LIVING CENTER, LLC
Practice Location Address:

1478 RIVER RD SE
WINNABOW, NC
28479-5821

Practice Phone: 910-371-9894
Practice Fax: 910-371-9609

1477671600 — CREATIVE SOLUTIONS CHILD & FAMILY COUNSELING, LLC
Practice Location Address:

6213 OCEAN HWY E
WINNABOW, NC
28479-5836

Practice Phone: 910-353-2853
Practice Fax:

1285839217 — SPEAK WELL, LLC
Practice Location Address:

9119 CLARK WAY SE
WINNABOW, NC
28479-5275

Practice Phone: 910-352-0733
Practice Fax: 910-371-0606

1700053295 — MRS. L'TOYNYA MCKOY MESSICK COTA
Practice Location Address:

1478 RIVER RD SE
WINNABOW, NC
28479-5821

Practice Phone: 910-383-2823
Practice Fax: 910-383-2823

1811155591 — ELAINE SKELTON PTA
Practice Location Address:

1478 RIVER RD SE
WINNABOW, NC
28479-5821

Practice Phone: 910-383-2023
Practice Fax: 910-383-2023

Directions to “BRUNSWICK COVE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.