Active NPI
Brunswick Opco Holdings, LLC
- Adult Care Home Facility
- Oak Island, NC
National Provider Identifier
1386212694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- BRUNSWICK OPCO HOLDINGS, LLC
- Practice address
- 2910 Pine Plantation Parkway
Oak Island, NC 28461 - Phone
- (910) 406-8400
- NPI assigned
- Jun 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles E Trefzger
- Title
- Manager
- Phone
- (828) 322-5535
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
2910 Pine Plantation Parkway
Oak Island, NC 28461
Mailing address
PO Box 2568
Hickory, NC 28603-2568
Phone (828) 270-0651
Other names 1
- The Landings of Oak Island
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2229119 | The Landings of Oak Island | Certificate of waiver | Jul 6, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636416000000",
"number": "1386212694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2568",
"city": "HICKORY",
"state": "NC",
"postal_code": "286032568",
"telephone_number": "828-270-0651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 PINE PLANTATION PARKWAY",
"city": "OAK ISLAND",
"state": "NC",
"postal_code": "28461",
"telephone_number": "910-406-8400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUNSWICK OPCO HOLDINGS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-14",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A",
"authorized_official_last_name": "TREFZGER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "828-322-5535"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Landings of Oak Island",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Landings of Oak Island",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oak Island, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.