Clay County Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0542 Issued in NC

Legal business name

CLAY COUNTY HEALTHCARE LLC

Doing business as

Clay County Care Center

Practice address

86 Valley Hideaway Dr
Hayesville, NC 28904-9674

Phone

(828) 389-9941

Fax

(828) 389-3712

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

• Clay County Care Center Doing business as

Electronic endpoints 1

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": "1407803679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 VALLEY HIDEAWAY DR",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289049674",
            "telephone_number": "828-389-9941",
            "fax_number": "828-389-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 VALLEY HIDEAWAY DR",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289049674",
            "telephone_number": "828-389-9941",
            "fax_number": "828-389-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COUNTY 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": "NH0542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407803679",
            "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": "Clay County Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clay County Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clay County
• Clay County (Clay County Health Department -CAP DA)
• Clay County (Clay County EMS)
• Clay County (Clay County Health Department)
• Clay County Board of Education
• Sally Irene Cody, FNP
• Ellen Marla Cohen, MS CCC-SLP
• Ryann Cowart, M.D.
• D. Duncan Sumpter, P.C. (Appalachian Community Services)
• D. Duncan Sumpter, P.C. (Appalachian Community Services, Inc)

• Skilled Nursing Facility in Hayesville, NC
• Providers in Hayesville, 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.