# LAUREL HEALTH CARE COMPANY OF CHATHAM NORTH CAROLINA, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE LAURELS OF CHATHAM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215982525
- **Authorized official:** ANIS KHAN (CFO)
- **Authorized official phone:** (614) 794-8800

## Contact information

- **Practice address:** 72 CHATHAM BUSINESS DR, PITTSBORO, NC 27312-5687
- **Practice address phone:** (919) 542-6677
- **Practice address fax:** (919) 542-1803
- **Mailing address:** 8181 WORTHINGTON RD, WESTERVILLE, OH 43082-8067
- **Mailing address phone:** (614) 794-8800
- **Mailing address fax:** (614) 794-8826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH0523 | NC | — |
| 314000000X | Skilled Nursing Facility | NH0523 | NC | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 01/03/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0099M | BLUE CROSS BLUE SHIELD \# | NC |
| 05 | — | 3415421 | — | NC |
| 05 | — | 341601J | — | NC |
| 01 | — | NH0523 | NURSING HOME LICENSE \# | NC |