Active NPI
Accordius Health at Brevard, LLC
- Skilled Nursing Facility
- Brevard, NC
National Provider Identifier
1063919652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ACCORDIUS HEALTH AT BREVARD, LLC
- Practice address
- 115 N Country Club Rd
Brevard, NC 28712-8990 - Phone
- (828) 884-2031
- Fax
- (718) 567-0600
- NPI assigned
- Apr 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Moshe Herbstman
- Title
- Cfo
- Phone
- (732) 497-1150
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NC | Primary | |
| Respite Care | 385H00000X | NC |
Addresses
Primary practice location
115 N Country Club Rd
Brevard, NC 28712-8990
Mailing address
212 2ND St Ste 501
Lakewood, NJ 08701-3424
Phone (732) 497-1150
Other names 1
- Sapphire Ridge Health and Rehabilitation
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Asheville, NC
- NPI 1093001760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672704000000",
"number": "1063919652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 2ND ST STE 501",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013424",
"telephone_number": "732-497-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N COUNTRY CLUB RD",
"city": "BREVARD",
"state": "NC",
"postal_code": "287128990",
"telephone_number": "828-884-2031",
"fax_number": "718-567-0600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCORDIUS HEALTH AT BREVARD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-10",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A",
"authorized_official_last_name": "HERBSTMAN",
"authorized_official_first_name": "MOSHE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "732-497-1150"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NC",
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sapphire Ridge Health and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.