Provider Demographics
NPI: | 1225524747 |
---|---|
Name: | CAROLINA PINES AT ASHEVILLE LLC |
Entity type: | Organization |
Organization Name: | CAROLINA PINES AT ASHEVILLE LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | VP OF ADMINISTRATIVE SERVICES |
Authorized Official - Prefix: | |
Authorized Official - First Name: | BATYA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | GORELICK |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 828-255-0076 |
Mailing Address - Street 1: | 440 SYLVAN AVE STE 240 |
Mailing Address - Street 2: | |
Mailing Address - City: | ENGLEWOOD CLIFFS |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 07632-2700 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 313-318-1632 |
Mailing Address - Fax: | 201-353-5899 |
Practice Address - Street 1: | 91 VICTORIA RD |
Practice Address - Street 2: | |
Practice Address - City: | ASHEVILLE |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28801 |
Practice Address - Country: | US |
Practice Address - Phone: | 313-318-1632 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-07-09 |
Last Update Date: | 2023-01-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 314000000X | Nursing & Custodial Care Facilities | Skilled Nursing Facility | |
No | 385H00000X | Respite Care Facility | Respite Care |