Kornegay Healthcare, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NHO418 Issued in NC

Legal business name

KORNEGAY HEALTHCARE, INC.

Practice address

214 Lanefield Rd
Warsaw, NC 28398-8719

Phone

(910) 293-3144

Fax

(910) 293-4424

NPI assigned

Dec 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marian Anne Kornegay

Title

Vice President

Phone

(910) 275-0058

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Glencare Other name

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1629136197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283490339",
            "telephone_number": "910-275-0058",
            "fax_number": "910-275-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 LANEFIELD RD",
            "city": "WARSAW",
            "state": "NC",
            "postal_code": "283988719",
            "telephone_number": "910-293-3144",
            "fax_number": "910-293-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORNEGAY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "KORNEGAY",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "910-275-0058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NHO418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3485252",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3455252",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3436396",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glencare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher D Hardison, DDS
• Kloey Lynn Hobbs
• Toya Hooper, CPSS, CADC
• Howell Support Services
• Kornegay Healthcare Inc.
• Kornegay Healthcaredba Glencare
• L &J Group Homes Inc
• Minerva Manor LLC
• Neuro Health & Chiropractic Solutions
• Elizabeth A Olmstead, RN

• Skilled Nursing Facility in Warsaw, NC
• Providers in Warsaw, 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 Jun 10, 2010; 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.