Organization Active NPI

Cleveland County Healthcare System

  • Skilled Nursing Facility
  • Shelby, NC
National Provider Identifier
1316039639
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CLEVELAND COUNTY HEALTHCARE SYSTEM
Practice address
1404 N Lafayette St
Shelby, NC 28150-3406
Phone
(980) 487-7439
Fax
(980) 487-7416
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Mrs. Rose L Coyne
Title
Vice President Cfo
Phone
(980) 487-3802

Specialties & licenses 1

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

Addresses

Primary practice location

1404 N Lafayette St
Shelby, NC 28150-3406

Mailing address

201 E Grover Street
Shelby, NC 28150
Phone (980) 487-7439

Other identifiers 3

IdentifierTypeStateIssuer
0081JOtherBCBS
3496012MedicaidNC
3405282MedicaidNC

Other names 1

  • Cleveland Pines Nursing Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

Locations

315 Weathers St
Shelby, NC 28150
Phone (980) 487-2720

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1316039639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E GROVER STREET",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28150",
            "telephone_number": "980-487-7439",
            "fax_number": "980-487-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 N LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503406",
            "telephone_number": "980-487-7439",
            "fax_number": "980-487-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND COUNTY HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "COYNE",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT CFO",
        "authorized_official_telephone_number": "980-487-3802",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0081J",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3496012",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405282",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Pines Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.