Walnut Cove Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0316 Issued in NC

Legal business name

WALNUT COVE HEALTHCARE LLC

Practice address

511 Windmill St
Walnut Cove, NC 27052-7706

Phone

(336) 591-4353

Fax

(336) 591-7659

NPI assigned

Jun 3, 2006

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

• Walnut Cove Health and Rehabilitation Center Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1659319366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270520158",
            "telephone_number": "336-591-4353",
            "fax_number": "336-591-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 WINDMILL ST",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270527706",
            "telephone_number": "336-591-4353",
            "fax_number": "336-591-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT COVE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "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": "NH0316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659319366",
            "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": "Walnut Cove Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Walnut Cove Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Stackley, PHARM.D
• Linda Faye Staten, LCMHCA
• Leigh Beth Woodman Tippit, PHYSICAL THERAPIST
• Patricia Anne Townsend, LCSWA
• Robert F Turner III, PHARMD
• Walnut Cove Pharmacy Inc
• Walnut Cove Pharmacy, Inc
• Walnut Ridge Assistd Living
• Nicholas Bradford Watts, PHARMD
• Wellspring Family Medicine, PA

• Skilled Nursing Facility in Walnut Cove, NC
• Providers in Walnut Cove, 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.