# HENDERSON OPERATOR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Henderson Health and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154295962
- **Authorized official:** JULIUS SHAYO (VICE PRESIDENT)
- **Authorized official phone:** (910) 985-0636

## Contact information

- **Practice address:** 2275 RUIN CREEK RD, HENDERSON, NC 27537-8732
- **Practice address phone:** (252) 492-0066
- **Mailing address:** 2275 RUIN CREEK RD, HENDERSON, NC 27537-8732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2025
- **Last updated:** 10/03/2025