# BIRCH LTC GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRINCIPLE LONG TERM CARE, INC.
- **Other names:** Barbour Court Nursing and Rehabilitation Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225064777
- **Legal business name:** PRINCIPLE LONG TERM CARE, INC.
- **Authorized official:** KAREN G MCDANIEL (PRESIDENT)
- **Authorized official phone:** (252) 523-9094

## Contact information

- **Practice address:** 515 BARBOUR RD, SMITHFIELD, NC 27577-7698
- **Practice address phone:** (919) 934-6017
- **Practice address fax:** (919) 934-2057
- **Mailing address:** PO BOX 2390, SMITHFIELD, NC 27577-2390
- **Mailing address phone:** (919) 934-6017
- **Mailing address fax:** (919) 934-2057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0371 | NC | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 07/01/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00979 | BLUE CROSS/BLUE SHIELD | NC |
| 05 | — | 3406311 | — | NC |
| 05 | — | 3425237 | — | NC |