Cardinal North Carolina Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0504 Issued in NC

Legal business name

CARDINAL NORTH CAROLINA HEALTHCARE, LLC

Doing business as

Cardinal Healthcare and Rehabilitation Center

Practice address

931 N Aspen St
Lincolnton, NC 28092-2113

Phone

(704) 732-7055

Fax

(704) 732-8460

NPI assigned

May 31, 2006

Last updated

Sep 13, 2024By 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

Tim Lehner

Title

Manager

Phone

(770) 698-9040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cardinal Healthcare and Rehabilitation Center Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1336196526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 N ASPEN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280922113",
            "telephone_number": "704-732-7055",
            "fax_number": "704-732-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 N ASPEN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280922113",
            "telephone_number": "704-732-7055",
            "fax_number": "704-732-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL NORTH CAROLINA HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "LEHNER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-698-9040"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336196526",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "800 Concourse Pkwy S Ste 200",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cardinal Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardinal Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Reid Byrne, PHARMD
• Richard H Byrne, MD
• Alexis Inez Brown Campbell, PA
• Kirk Andrew Campbell, D.O.
• Capital Care Resources, LLC (CenterWell Home Health)
• Care for All Home Health
• Carillon Assisted Living of Lincolnton, LLC
• Carolina Ear, Nose & Throat-Sinus and Allergy Center PA
• Carolina Pulmonary and Critical Care Associates, P.a.
• Carolinas Healthcare System/Lincoln Family Practice

• Skilled Nursing Facility in Lincolnton, NC
• Providers in Lincolnton, 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 13, 2024; 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.