TRC of Salisbury, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0442 Issued in NC

Legal business name

TRC OF SALISBURY, INC.

Doing business as

Magnolia Estates Skilled Care Facility

Practice address

1404 S Salisbury Ave
Spencer, NC 28159-1921

Phone

(704) 633-3892

Fax

(704) 637-2784

NPI assigned

Mar 3, 2006

Last updated

Jul 11, 2014By 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. Nick Elledge

Title

Vice President

Phone

(336) 679-8852

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Magnolia Estates Skilled Care Facility Doing business as

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1376510784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "SPENCER",
            "state": "NC",
            "postal_code": "281590005",
            "telephone_number": "704-633-3892",
            "fax_number": "704-637-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 S SALISBURY AVE",
            "city": "SPENCER",
            "state": "NC",
            "postal_code": "281591921",
            "telephone_number": "704-633-3892",
            "fax_number": "704-637-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRC OF SALISBURY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "ELLEDGE",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "336-679-8852",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405288",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NO",
            "identifier": "0096G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406433",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Estates Skilled Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Michael's Therapeutic Services, Inc
• Melinda Marie Steelman, COTA
• The Mental Health Association in North Carolina, Inc. (Rowan Apts)
• Total Renal Care of North Carolina LLC (Spencer Dialysis)
• Jo Ann Townsend
• TRC of Salisbury, Inc. (Veranda Residential Care)
• Truecarerx, LLC (CRCHC Pharmacy Spencer)
• Ryan Chandler Upright, COTA/L
• Kenneth Washko, DDS
• Tara White, CBRS SERVICES

• Skilled Nursing Facility in Spencer, NC
• Providers in Spencer, 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 Jul 11, 2014; 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.