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NPI Code Detail

MEDICARE: CAROLINA ADVENTIST RETIREMENT SYSTEMS, INC.

MEDICARE: CAROLINA ADVENTIST RETIREMENT SYSTEMS, 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
1314000000XSkilled Nursing FacilityNH0184NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20090JOTHERNCBCBS PROVIDER ID

General Provider Information

NPI Number : 1780672790
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROLINA ADVENTIST RETIREMENT SYSTEMS, INC.
Provider Business Mailing Address
First Line : 95 HOLCOMBE COVE RD
Second Line :
City : CANDLER
State : NC
Zip : 28715-9450
Country : US
Telephone Number : 828-667-9851
Fax Number : 828-665-4666
Provider Business Practice Location Address
First Line : 95 HOLCOMBE COVE RD
Second Line :
City : CANDLER
State : NC
Zip : 28715-9450
Country : US
Telephone Number : 828-667-9851
Fax Number : 828-665-4666
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : DEBORAH L HAWKINS
Credential :
Telephone Number : 828-418-2334
Provider Enumeration Date : 10/12/2005
Last Update Date : 07/31/2013

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