Pinehurst Nursing Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0294 Issued in NC

Legal business name

PINEHURST NURSING CENTER, INC.

Doing business as

Pinehurst Healthcare and Rehabilitation

Practice address

300 Blake Blvd
Pinehurst, NC 28374-8474

Phone

(910) 295-6158

Fax

(910) 295-6783

NPI assigned

Feb 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Nick Elledge

Title

Vice President

Phone

(336) 679-8852

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Pinehurst Healthcare and Rehabilitation Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julian Scott III

  • Physical Therapist
  • Pinehurst, NC
  • NPI 1679931919
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1205803137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5309",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283745309",
            "telephone_number": "910-295-6158",
            "fax_number": "910-295-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BLAKE BLVD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748474",
            "telephone_number": "910-295-6158",
            "fax_number": "910-295-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEHURST NURSING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "ELLEDGE",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "336-679-8852",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NO",
            "identifier": "0091R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405370",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406228",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinehurst Healthcare and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pinehurst Medical Clinic, Inc. (Pinehurst Medical Clinic Endoscopy Center)
• Pinehurst Medical Clinic, Inc.
• Pinehurst Nephrology Associates, PC
• Pinehurst Neurology, PA
• Pinehurst Neuropsychology, PLLC
• Pinehurst Nursing Center, Inc. (Pinehurst Healthcare and Rehabilitation Center)
• Pinehurst OBGYN Associates PA
• Pinehurst Opco, LLC (The Greens At Pinehurst Rehabilitation & Living Center)
• Pinehurst Pathology Center Inc
• Pinehurst Plastic Surgery Specialists, P.a.

• Skilled Nursing Facility in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.