# CAROMONT HEALTH SERVICES INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Courtland Terrace
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073599510
- **Authorized official:** MR. WAYNE F. SHOVELIN (PRESIDENT/CEO)
- **Authorized official phone:** (704) 834-2121

## Contact information

- **Practice address:** 2300 ABERDEEN BLVD, GASTONIA, NC 28054-0613
- **Practice address phone:** (704) 834-4800
- **Practice address fax:** (704) 834-4812
- **Mailing address:** 2300 ABERDEEN BLVD, GASTONIA, NC 28054-0613
- **Mailing address phone:** (704) 834-4800
- **Mailing address fax:** (704) 834-4812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0494 | NC | Yes |

## Other

- **Enumeration date:** 12/16/2005
- **Last updated:** 09/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3405350 | — | NC |
| 05 | — | 3406314 | — | NC |
| 05 | — | 7802312 | — | NC |