Pine Ridge Healthcare And Rehabilitation Center
LBN: Spruce Ltc Group, Llc
Pine Ridge Healthcare And Rehabilitation Center is an health care organization with primary practice located at 706 Pineywood Rd , Thomasville NC 27360-2753. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Spruce Ltc Group, Llc can be contacted via phone (336) 475-9116, or through Boice, Gale via phone (252) 523-9094.
Contact Information
Primary practice address
706 Pineywood Rd
Thomasville NC 27360-2753
Phone: (336) 475-9116
Fax: (336) 475-9120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | NH0187 | North Carolina |
Profile Details
| NPI number | 1982640785 |
|---|---|
| LBN Legal business name | Spruce Ltc Group, Llc |
| DBA Doing business as | Pine Ridge Healthcare And Rehabilitation Center |
| Authorized official | Boice, Gale |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jul 16th, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982640785 | NPPES |
| North Carolina | Other | 0097U | BC/BS OF NC |
| North Carolina | MEDICAID | 3415144 | BC/BS OF NC |
| North Carolina | Other | 71-08235 | BC/BS OF NC |
| North Carolina | Other | 20575 | BC/BS OF NC |
| North Carolina | MEDICAID | 3425144 | BC/BS OF NC |
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