Organization
GLENCARE ASSISTED LIVING, INC.
Active
Organization
GLENCARE ASSISTED LIVING, INC.
Active
Other names
Glencare of Holly Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIAN ANNE KORNEGAY R.N. NHA V.P. (VICE PRESIDENT)
(910) 275-0058
Entity
Organization
Contact information
Practice address
3255 SOUND ROAD, HOLY RIDGE, NC 28445-0157
(910) 329-9941
(910) 329-9943
Mailing address
PO BOX 339, KENANSVILLE, NC 28349-0339
(910) 275-0058
(910) 275-0093
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL067015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805699
—
NC
Enumeration date
02/06/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up