Active NPI
Concord Health and Rehabilitation SNF LLC
- Skilled Nursing Facility
- Concord, NC
National Provider Identifier
1780439414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CONCORD HEALTH AND REHABILITATION SNF LLC
- Practice address
- 515 Lake Concord Rd NE
Concord, NC 28025-2925 - Phone
- (828) 756-3600
- NPI assigned
- Apr 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Fischer
- Title
- Manager
- Phone
- (828) 756-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
515 Lake Concord Rd NE
Concord, NC 28025-2925
Mailing address
1815 Lakewood Road
Toms River, NJ 08755
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713312000000",
"number": "1780439414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 LAKEWOOD ROAD",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "08755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 LAKE CONCORD RD NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252925",
"telephone_number": "828-756-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCORD HEALTH AND REHABILITATION SNF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-17",
"last_updated": "2024-04-17",
"certification_date": "2024-04-11",
"status": "A",
"authorized_official_last_name": "FISCHER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "828-756-3600"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.