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 |