Carolina Health Care Center of Burke Limited Partnership

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0610 Issued in NC

Legal business name

CAROLINA HEALTH CARE CENTER OF BURKE LIMITED PARTNERSHIP

Doing business as

Carolina Rehab Center of Burke

Practice address

3647 Miller Bridge Rd
Connellys Springs, NC 28612-7347

Phone

(828) 397-3144

Fax

(828) 397-2349

NPI assigned

Oct 3, 2006

Last updated

May 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Claude Novel Martin III

Title

Cfo, Mfa Inc. General Partner

Phone

(540) 776-7526

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Carolina Rehab Center of Burke Doing business as

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1255425427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 PENN FOREST BLVD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184374",
            "telephone_number": "540-989-3618",
            "fax_number": "540-744-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 MILLER BRIDGE RD",
            "city": "CONNELLYS SPRINGS",
            "state": "NC",
            "postal_code": "286127347",
            "telephone_number": "828-397-3144",
            "fax_number": "828-397-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEALTH CARE CENTER OF BURKE LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "NOVEL",
        "authorized_official_title_or_position": "CFO, MFA INC. GENERAL PARTNER",
        "authorized_official_telephone_number": "540-776-7526",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0610",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405526",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340614H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Rehab Center of Burke",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baptist Camp Road Group Home
• Sharyn Kiziah Brady, MA, LPC
• Crystal NMN Cha, PHARMD
• Leslie S Corley, MA, LPC, NCC
• Fairview Rest Home
• Julie Granger, RPH
• Jamie R. Kirby (East View Family Care Home)

• Skilled Nursing Facility in Connellys Springs, NC
• Providers in Connellys Springs, 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 May 20, 2010; 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.