Active NPI
Oak Health Care Investors of North Carolina, Inc.
Doing business as Laurels of Forest Glenn
- Parenteral & Enteral Nutrition Supplies (DME)
- Garner, NC
National Provider Identifier
1861589194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- License
- NH0506
- Legal business name
- OAK HEALTH CARE INVESTORS OF NORTH CAROLINA, INC.
- Doing business as
- Laurels of Forest Glenn
- Practice address
- 1101 Hartwell St
Garner, NC 27529-3675 - Phone
- (919) 772-8888
- Fax
- (919) 772-8436
- NPI assigned
- Oct 6, 2006
- 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
- Mr. Timothy Patton
- Title
- Cfo
- Phone
- (614) 794-8800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | NH0506 | NC | Primary |
Addresses
Primary practice location
1101 Hartwell St
Garner, NC 27529-3675
Mailing address
1101 Hartwell St
Garner, NC 27529-3675
Phone (919) 772-8888
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0082M | Other | NC | BC/BS # |
| 345389 | Medicaid | NC | |
| NH0506 | Other | NC | NH LICENSE # |
| 7105588 | Other | NC | UNITED HEALTH CARE ID # |
| 923173 | Other | NC | FACILITY ID # |
Other names 1
- LAURELS OF FOREST GLENN
National Provider Directory
National Provider Directory- Tax ID family
- Laurels of Forest Glenn
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba The Laurels of Forestglenn
- Skilled Nursing Facility
- Garner, NC
- NPI 1427003110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191542400000",
"number": "1861589194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 HARTWELL ST",
"city": "GARNER",
"state": "NC",
"postal_code": "275293675",
"telephone_number": "919-772-8888",
"fax_number": "919-772-8436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 HARTWELL ST",
"city": "GARNER",
"state": "NC",
"postal_code": "275293675",
"telephone_number": "919-772-8888",
"fax_number": "919-772-8436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK HEALTH CARE INVESTORS OF NORTH CAROLINA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2007-10-05",
"status": "A",
"authorized_official_last_name": "PATTON",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "614-794-8800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "NC",
"license": "NH0506",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS #",
"identifier": "0082M",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "345389",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NH LICENSE #",
"identifier": "NH0506",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE ID #",
"identifier": "7105588",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY ID #",
"identifier": "923173",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LAURELS OF FOREST GLENN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garner, NC
- Carol O'Hare-Cook, MS-CCC/SLP
- Margery Scott O'Herron, PA-C
- Shannon R O'Neal, MA, LPC
- Jessica Fahrbach O'Neill, D.O
- Oak Health Care Investors of North Carolina, Inc (The Laurels of Forestglenn)
- Oasis Eye Care Optometry P.a.
- Oasis Wellness, LLC (Body Wellness Massage Therapy)
- Sonya Ohri
- Obiageli Okoli
- Bianca Olivares, LCSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.