Organization 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
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
NH0506 Issued in NC
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

Updated by the provider on Oct 5, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0082MOtherNCBC/BS #
345389MedicaidNC
NH0506OtherNCNH LICENSE #
7105588OtherNCUNITED HEALTH CARE ID #
923173OtherNCFACILITY ID #

Other names 1

  • LAURELS OF FOREST GLENN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Laurels of Forest Glenn2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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

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.

Verify at the official NPI Registry.