# SSC HERTFORD OPERATING COMPANY LLC

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

## Provider details

- **NPI number:** 1861513715
- **Authorized official:** KELLE C SANTORO (SR DIRECTOR AR)
- **Authorized official phone:** (832) 467-5728

## Contact information

- **Practice address:** 1300 DON JUAN RD, HERTFORD, NC 27944-9340
- **Practice address phone:** (252) 426-5391
- **Mailing address:** 5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
- **Mailing address phone:** (832) 467-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311Z00000X | Custodial Care Facility | NH0432 | NC | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH0432 | NC | — |
| 314000000X | Skilled Nursing Facility | NH0432 | NC | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 11/16/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3409713 | — | NC |
| 05 | — | 3426423 | — | NC |
| 05 | — | 3435262 | — | NC |