# REGENCY CARE OF BLACK MOUNTAIN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain Ridge Health & Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831197714
- **Authorized official:** MR. STEVEN D WOMACK (MANAGING MEMBER)
- **Authorized official phone:** (828) 381-5360

## Contact information

- **Practice address:** 611 OLD US HWY 70 E, BLACK MOUNTAIN, NC 28711-9488
- **Practice address phone:** (828) 669-9991
- **Practice address fax:** (828) 669-9939
- **Mailing address:** PO BOX 1667, HICKORY, NC 28603-1667
- **Mailing address phone:** (828) 324-8898
- **Mailing address fax:** (828) 322-9598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0235 | NC | Yes |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 11/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3435048 | — | NC |
| 01 | — | 922973 | STATE FACILITY ID | NC |
| 01 | — | NH0235 | NURSING FACILITY LICENSE NUMBER | NC |