NPIMap

Organization Active NPI

Pineville Rehabilitation and Living

  • Skilled Nursing Facility
  • Pineville, NC
National Provider Identifier
1225019409
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0521 Issued in NC
Legal business name
PINEVILLE REHABILITATION AND LIVING
Practice address
1010 Lakeview Dr
Pineville, NC 28134-7567
Phone
(704) 889-2273
Fax
(704) 889-2010
NPI assigned
Nov 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Marcella Graf
Title
Executive Controller
Phone
(224) 377-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0521 NC Primary

Addresses

Primary practice location

1010 Lakeview Dr
Pineville, NC 28134-7567

Mailing address

1010 Lakeview Dr
Pineville, NC 28134-7567
Phone (704) 889-2273

Other identifiers 2

IdentifierTypeStateIssuer
340601GMedicaidNC
3405415MedicaidNC

Other names 1

  • Pineville Rehabilitation and Living Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pineville Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1225019409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LAKEVIEW DR",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281347567",
            "telephone_number": "704-889-2273",
            "fax_number": "704-889-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAKEVIEW DR",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281347567",
            "telephone_number": "704-889-2273",
            "fax_number": "704-889-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEVILLE REHABILITATION AND LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "EXECUTIVE CONTROLLER",
        "authorized_official_telephone_number": "224-377-2400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340601G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405415",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pineville Rehabilitation and Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pineville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.