Provider Demographics
NPI:1285254011
Name:OCEAN ISLE OPERATIONS LLC
Entity type:Organization
Organization Name:OCEAN ISLE OPERATIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NEAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-993-7555
Mailing Address - Street 1:853 OLD WINSTON RD STE 118
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-8781
Mailing Address - Country:US
Mailing Address - Phone:336-993-7555
Mailing Address - Fax:336-993-6111
Practice Address - Street 1:5490 ARBOR BRANCH DR
Practice Address - Street 2:
Practice Address - City:SHALLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28470-6103
Practice Address - Country:US
Practice Address - Phone:910-754-8080
Practice Address - Fax:910-754-8087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-22
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home