# THE LAURELS OF GREENTREE RIDGE, INC

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

## Provider details

- **NPI number:** 1598710949
- **Authorized official:** ANIS KHAN (CFO)
- **Authorized official phone:** (614) 794-8800

## Contact information

- **Practice address:** 70 SWEETEN CREEK RD, ASHEVILLE, NC 28803-2318
- **Practice address phone:** (828) 274-7646
- **Practice address fax:** (828) 277-4752
- **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 | NH0463 | NC | — |
| 314000000X | Skilled Nursing Facility | NH0463 | NC | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0097Y | BLUE CROSS BLUE SHIELD \# | NC |
| 05 | — | 3415303 | — | NC |
| 05 | — | 3416488 | — | NC |
| 01 | — | NH0463 | NURSING HOME LICENSE \# | NC |