NPIMap

Organization Active NPI

MTN Trace Nursing Center

  • Skilled Nursing Facility
  • Sylva, NC
National Provider Identifier
1710087143
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
H0087 Issued in NC
Legal business name
MTN TRACE NURSING CENTER
Practice address
87 Eastgate Dr
Sylva, NC 28779-5171
Phone
(828) 586-1975
NPI assigned
Sep 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wanda Arnett
Title
Controller
Phone
(828) 586-7195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X H0087 NC Primary

Addresses

Primary practice location

87 Eastgate Dr
Sylva, NC 28779-5171

Mailing address

417 Mountain Trace Rd
Sylva, NC 28779-6779
Phone (828) 631-1600

Other identifiers 3

IdentifierTypeStateIssuer
3405302MedicaidNC
BC NCOtherNCBC NC
3406484MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
C J Harris Comm Hosp14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

87 Eastgate Dr
Sylva, NC 28779
Phone (828) 586-1975

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710087143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MOUNTAIN TRACE RD",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287796779",
            "telephone_number": "828-631-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 EASTGATE DR",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795171",
            "telephone_number": "828-586-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTN TRACE NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARNETT",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "828-586-7195"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "H0087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405302",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC NC",
            "identifier": "BC NC",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406484",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.