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.
Organization
GRANITE FALLS LTC, LLC
Active
Organization
GRANITE FALLS LTC, LLC
Active
Other names
Jacob's Creek Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN G MCDANIEL (PRESIDENT)
(252) 523-9094
Entity
Organization
Contact information
Practice address
1721 BALD HILL LOOP, MADISON, NC 27025-7624
(336) 548-9658
(336) 548-1299
Mailing address
1721 BALD HILL LOOP, MADISON, NC 27025-7624
(336) 548-9658
(336) 548-1299
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0092
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091B
BC/BS OF NC
NC
01
—
24380
PARTNERS INSURANCE
NC
05
—
3415050
—
NC
05
—
3425050
—
NC
01
—
561370182
UNITED HEALTHCARE #
NC
Enumeration date
06/23/2006
Last updated
07/14/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers