Provider Demographics
NPI:1982130811
Name:ASHTON HEALTH AND REHABILITATION, LLC
Entity type:Organization
Organization Name:ASHTON HEALTH AND REHABILITATION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SPRENGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-608-9123
Mailing Address - Street 1:5533 BURLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:MC LEANSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27301-9622
Mailing Address - Country:US
Mailing Address - Phone:336-698-0045
Mailing Address - Fax:919-882-9771
Practice Address - Street 1:5533 BURLINGTON RD
Practice Address - Street 2:
Practice Address - City:MC LEANSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27301-9622
Practice Address - Country:US
Practice Address - Phone:336-698-0045
Practice Address - Fax:919-882-9771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0625314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC34D1104870OtherCLIA
NCNC-AA 0000 3899OtherNORTH CAROLINA CONTROLLED SUBSTANCES REGISTRATION NUMBER
NC3405548Medicaid
NC3405548Medicaid
NC34D1104870OtherCLIA