Active NPI
BN Healthcare, LLC
Doing business as South Village
- Skilled Nursing Facility
- Rocky Mount, NC
National Provider Identifier
1891764551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH0122
- Legal business name
- BN HEALTHCARE, LLC
- Doing business as
- South Village
- Practice address
- 2221 Raleigh Rd
Rocky Mount, NC 27803-3729 - Phone
- (252) 442-4156
- Fax
- (252) 407-8478
- NPI assigned
- Mar 15, 2006
- Last updated
- Aug 22, 2020
- 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
- Carol Prater
- Title
- Vice President of Operations
- Phone
- (336) 633-0055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH0122 | NC | Primary |
Addresses
Primary practice location
2221 Raleigh Rd
Rocky Mount, NC 27803-3729
Mailing address
2221 Raleigh Rd
Rocky Mount, NC 27803-3729
Phone (252) 442-4156
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7803186 | Medicaid | NC | |
| 3425137 | Medicaid | NC | |
| 3426090 | Medicaid | NC |
Other names 1
- SOUTH VILLAGE
National Provider Directory
National Provider Directory- Tax ID family
- BN Healthcare LLC
Other organizations with this tax ID 3
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": "1142380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891764551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 RALEIGH RD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278033729",
"telephone_number": "252-442-4156",
"fax_number": "252-407-8478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 RALEIGH RD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278033729",
"telephone_number": "252-442-4156",
"fax_number": "252-407-8478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BN HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PRATER",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
"authorized_official_telephone_number": "336-633-0055"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NC",
"license": "NH0122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7803186",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3425137",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3426090",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SOUTH VILLAGE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rocky Mount, NC
- N Bill Blaylock Jr., DDS
- Blazing Women of God Adult Group Home Inc.
- Bloem Orthopaedic Center, P.a.
- Josephus TH Bloem, MD
- Kristin McGinnis Blonk, DNP, CRNA
- Crystal L Bobbitt, LMFTA
- Boice Willis Clinic PA (Boice-Willis Clinic Endoscopy Center)
- Boice-Willis Clinic PA
- Boice-Willis Clinic, PA
- Boice-Willis Clinic, PA
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.