# SNOWSHOE LTC GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greenhaven Health and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619908977
- **Authorized official:** GALE BOICE (CFO)
- **Authorized official phone:** (252) 523-9094

## Contact information

- **Practice address:** 801 GREENHAVEN DR, GREENSBORO, NC 27406-7103
- **Practice address phone:** (336) 292-8371
- **Practice address fax:** (336) 299-8414
- **Mailing address:** 801 GREENHAVEN DR, GREENSBORO, NC 27406-7103
- **Mailing address phone:** (336) 292-8371
- **Mailing address fax:** (336) 299-8414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0368 | NC | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 07/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00870 | BC/BS OF NC | NC |
| 01 | — | 26711 | PARTNERS INSURANCE | NC |
| 05 | — | 3416303 | — | NC |
| 05 | — | 3425132 | — | NC |
| 05 | — | 3435132 | — | NC |
| 01 | — | 7108249 | UNITED HEALTHCARE | NC |