NPIMap

Organization Active NPI

Carteret County General Hospital Corporation

Doing business as Taylor Extended Care

  • Skilled Nursing Facility
  • Sea Level, NC
National Provider Identifier
1245224617
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0600 Issued in NC
Legal business name
CARTERET COUNTY GENERAL HOSPITAL CORPORATION
Doing business as
Taylor Extended Care
Practice address
468 Highway 70 East
Sea Level, NC 28577-0100
Phone
(252) 225-4611
Fax
(252) 225-1228
NPI assigned
Aug 31, 2005
Last updated
Jun 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Mrs. Andrea Fuchs Yeomans, N.H.A.
Title
Administrator
Phone
(252) 225-2415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0600 NC Primary

Addresses

Primary practice location

468 Highway 70 East
Sea Level, NC 28577-0100

Mailing address

468 Highway 70
P.O. Box 100
Sea Level, NC 28577-0100
Phone (252) 225-4611

Other identifiers 2

IdentifierTypeStateIssuer
3425182MedicaidNC
0091HOtherNCBLUE CROSS, STATE HEALTH

Other names 1

  • Taylor Extended Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245224617. Details of each certification follow.

Hospital certification: CCN 341300

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TAYLOR HOSPITAL & EXTENDED CARE FACIL
Certification status
Terminated Voluntary: other reason for withdrawal, Nov 1, 1999
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 3, 1994
Last certification
Nov 3, 1994
Beds
4
Ownership / control type
Other
Facility address
468 Highway 70 E
Sealevel, NC 28577

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1245224617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 HIGHWAY 70",
            "address_2": "P.O. BOX 100",
            "city": "SEA LEVEL",
            "state": "NC",
            "postal_code": "285770100",
            "telephone_number": "252-225-4611",
            "fax_number": "252-225-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 HIGHWAY 70 EAST",
            "city": "SEA LEVEL",
            "state": "NC",
            "postal_code": "285770100",
            "telephone_number": "252-225-4611",
            "fax_number": "252-225-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERET COUNTY GENERAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "YEOMANS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "FUCHS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-225-2415",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "N.H.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3425182",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS, STATE HEALTH",
            "identifier": "0091H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Extended Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sea Level, NC

Sources for this page

Verify at the official NPI Registry.