Britthaven, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH0592 Issued in NC

Legal business name

BRITTHAVEN, INC.

Doing business as

Lake Park Nursing & Rehab Center

Practice address

3315 Faith Church Rd
Indian Trail, NC 28079-9300

Phone

(704) 882-3420

Fax

(704) 882-5197

NPI assigned

Oct 1, 2007

Last updated

Oct 1, 2007By 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. Norwood Randolph Uzzell

Title

President

Phone

(252) 523-9094

Specialties & licenses 1

Addresses

Other names 1

• LAKE PARK NURSING & REHAB CENTER Doing business as

Tax ID family

Britthaven of Tarboro46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

• Britthaven, Inc

  dba Britthaven of Chapel Hill

  • Nursing Facility/Intermediate Care Facility
  • Chapel Hill, NC
  • NPI 1881881217
  NPD tax ID
• Britthaven, Inc.

  dba Britthaven of Pamlico

  • Nursing Facility/Intermediate Care Facility
  • Grantsboro, NC
  • NPI 1003003435
  NPD tax ID
• Britthaven, Inc.

  dba Britthaven of Newport

  • Nursing Facility/Intermediate Care Facility
  • Newport, NC
  • NPI 1013104447
  NPD tax ID
• Britthaven, Inc.

  dba Britthaven of Henderson

  • Nursing Facility/Intermediate Care Facility
  • Henderson, NC
  • NPI 1134316565
  NPD tax ID
• Britthaven, Inc.

  dba Britthaven of Goldsboro

  • Nursing Facility/Intermediate Care Facility
  • Goldsboro, NC
  • NPI 1144417577
  NPD tax ID
• Britthaven, Inc.

  dba Britthaven of Piedmont

  • Nursing Facility/Intermediate Care Facility
  • Albemarle, NC
  • NPI 1164619946
  NPD tax ID
• Britthaven, Inc.

  dba Williamston Rehabilitation & Healthcare Center

  • Nursing Facility/Intermediate Care Facility
  • Williamston, NC
  • NPI 1184811515
  NPD tax ID
• Britthaven, Inc.

  dba Britthaven of Morganton

  • Nursing Facility/Intermediate Care Facility
  • Morganton, NC
  • NPI 1215124649
  NPD tax ID
• Britthaven, Inc.

  dba Britthaven of Havelock

  • Nursing Facility/Intermediate Care Facility
  • Havelock, NC
  • NPI 1225225659
  NPD tax ID
• Britthaven, Inc.

  dba Britthaven of Franklin

  • Nursing Facility/Intermediate Care Facility
  • Franklin, NC
  • NPI 1235326661
  NPD tax ID
• Britthaven, Inc.

  dba Plumblee Nursing Center

  • Nursing Facility/Intermediate Care Facility
  • Plymouth, NC
  • NPI 1275720609
  NPD tax ID
• Britthaven, Inc.

  dba Britthaven of Washington

  • Nursing Facility/Intermediate Care Facility
  • Washington, NC
  • NPI 1285821611
  NPD tax ID

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1497942825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2518",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280792518",
            "telephone_number": "704-882-3420",
            "fax_number": "704-882-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 FAITH CHURCH RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280799300",
            "telephone_number": "704-882-3420",
            "fax_number": "704-882-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITTHAVEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "UZZELL",
        "authorized_official_first_name": "NORWOOD",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-523-9094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE PARK NURSING & REHAB CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Decora Lachelle Bowers, EDD, LCMHC
• Jonathan Austin Bowman, DMD
• Kristina Quick Braun, PT
• Graham Breitenstein
• Bright View Counseling PLLC
• Ashley Marie Brown, LCMHCA, NCC
• Lisa Brown, LMHC, BCC, RDT
• Sharon Tracy Browning, MD
• Abigail Brundrett
• Jillian V Bruno

• Nursing Facility/Intermediate Care Facility in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Nursing Facility/Intermediate Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.