Mark Bordeaux – Skilled Nursing Facility

Key facts

NPI: 1669711735
Entity type: Individual (NPI type 1)
Primary specialty: Skilled Nursing Facility 314000000X
License: 2195 (NC)
Practice address: Margate Health and Rehab 540 Waugh St
Jefferson, NC 28640-9034
Phone: (336) 246-5581
NPI assigned: Feb 8, 2013
Sex: Male
Sole proprietor: Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Carolinas Cognitive Care, Inc. Occupational Therapist · Boone, NC · NPI 1992851356

NPD (past)
Cornerstone Services, Inc. Occupational Therapist · Boone, NC · NPI 1518988617

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2195	NC	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Cornerstone Services, Inc.		Past	Accepting new patients
Carolinas Cognitive Care, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Skilled Nursing Facility	314000000X	2195	NC	Yes

Addresses

Primary practice location

Margate Health and Rehab 540 Waugh St
Jefferson, NC 28640-9034

Mailing address

91 Cisco Rd
Asheville, NC 28805-1335
Phone (828) 230-9864

Other providers in Jefferson, NC

All providers in Jefferson, NC · Skilled Nursing Facility in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.