# BN HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTH VILLAGE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891764551
- **Authorized official:** CAROL PRATER (VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (336) 633-0055

## Contact information

- **Practice address:** 2221 RALEIGH RD, ROCKY MOUNT, NC 27803-3729
- **Practice address phone:** (252) 442-4156
- **Practice address fax:** (252) 407-8478
- **Mailing address:** 2221 RALEIGH RD, ROCKY MOUNT, NC 27803-3729
- **Mailing address phone:** (252) 442-4156
- **Mailing address fax:** (252) 407-8478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0122 | NC | Yes |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3425137 | — | NC |
| 05 | — | 3426090 | — | NC |
| 05 | — | 7803186 | — | NC |