Organization
LUTHERAN HOME- ALBEMARLE, INC.
Active
Other names
Trinity Place
Organization subpart
No
Provider details
NPI number
Authorized official
KESHA SMITH (COO)
(704) 754-8222
Entity
Organization
Contact information
Practice address
24724 S BUSINESS 52, ALBEMARLE, NC 28001-8179
(704) 982-8191
(704) 983-1118
Mailing address
24724 S BUSINESS 52, ALBEMARLE, NC 28001-8179
(704) 982-8191
(704) 983-1118
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0140
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00888
BCBS PROVIDER NUMBER
NC
05
—
3415109
—
NC
Enumeration date
06/10/2005
Last updated
02/04/2026
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