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Contact Information

SSC KENANSVILLE OPERATING COMPANY LLC
209 BEASLEY STREET
KENANSVILLE, NC28349
 Phone: 910-296-1561
 Fax: 910-296-1016
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for SSC KENANSVILLE OPERATING COMPANY LLC

NPI # 1689777971
LBN Legal business name SSC KENANSVILLE OPERATING COMPANY LLC
Authorized official THOMAS SIMONS - (SVP OPERATIONS FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2006
Last updated 11/16/2020 - About 6 years ago
Identifiers
NC License # NH0308
NC Medicaid 3445150
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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