# MASONIC AND EASTERN STAR HOME OF NORTH CAROLINA, INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WhiteStone: A Masonic and Eastern Star Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548230188
- **Authorized official:** MR. EUGENE JERNIGAN (CHAIRMAN, BOARD OF DIRECTORS)
- **Authorized official phone:** (336) 299-0031

## Contact information

- **Practice address:** 700 S HOLDEN RD, GREENSBORO, NC 27407-2321
- **Practice address phone:** (336) 299-0031
- **Practice address fax:** (336) 547-2999
- **Mailing address:** 700 S HOLDEN RD, GREENSBORO, NC 27407-2321
- **Mailing address phone:** (336) 299-0031
- **Mailing address fax:** (336) 547-2999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH0141 | NC | — |
| 314000000X | Skilled Nursing Facility | NH0141 | NC | Yes |

## Other

- **Enumeration date:** 01/25/2006
- **Last updated:** 05/22/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 22871 | PARTNERS INSURANCE | NC |
| 05 | — | 340614P | — | NC |
| 05 | — | 3415506 | — | NC |
| 05 | — | 7806239 | — | NC |