Manor Care of Pinehurst NC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0230 Issued in NC

Legal business name

MANOR CARE OF PINEHURST NC LLC

Practice address

205 Rattlesnake TRL
Pinehurst, NC 28374-7639

Phone

(910) 295-1781

Fax

(910) 295-1071

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Martin D Allen

Title

Director

Phone

(419) 252-5743

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ManorCare Health Services - Pinehurst Doing business as

Locations

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1790727394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-252-5500",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 RATTLESNAKE TRL",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747639",
            "telephone_number": "910-295-1781",
            "fax_number": "910-295-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR CARE OF PINEHURST NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5743",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416151",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415177",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ManorCare Health Services - Pinehurst",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Maness, LPN
• William Mang, PHARMD
• Elizabeth Manley, RNCS
• Venkata Sivanaga Prasad Mannava, MD
• David Manning, PA-C
• Stefanie Jo Mansfield, LAT, ATC
• Candace Renea Mansueto, QBA, LBA, IBA
• Matthew T Manzo, DO
• Joan Alberto Maradey, MD
• Stacy Leigh Murphy Marcum, PA-C

• Skilled Nursing Facility in Pinehurst, NC
• Providers in Pinehurst, 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 May 11, 2017; 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.