# BELAIRE HEALTH CARE CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Belaire Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326132507
- **Authorized official:** MR. CLAUDE NOVEL MARTIN III (CFO, MFA INC. GENERAL PARTNER)
- **Authorized official phone:** (540) 776-7526

## Contact information

- **Practice address:** 2065 LYON ST, GASTONIA, NC 28052-6230
- **Practice address phone:** (704) 867-7300
- **Practice address fax:** (704) 867-3939
- **Mailing address:** 2917 PENN FOREST BLVD, ROANOKE, VA 24018-4374
- **Mailing address phone:** (540) 989-3618
- **Mailing address fax:** (540) 774-9443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | NH0561 | NC | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH0561 | NC | — |
| 314000000X | Skilled Nursing Facility | NH0561 | NC | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 05/20/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3405457 | — | NC |
| 05 | — | 340607Z | — | NC |
| 01 | — | 7801727 | REST HOME PROVIDER NUMBER | NC |