Organization
BN HEALTHCARE, LLC
Active
Other names
NASH GROVE MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL PRATER (VICE PRESIDENT OF OPERATIONS)
(336) 633-0055
Entity
Organization
Contact information
Practice address
1022 EASTERN AVE, NASHVILLE, NC 27856-1718
(252) 459-3014
(252) 459-5092
Mailing address
1022 EASTERN AVE, NASHVILLE, NC 27856-1718
(252) 459-3014
(252) 459-5092
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0500
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009AN
BCBS PROVIDER NUMBER
NC
05
—
3425374
—
NC
05
—
3426384
—
NC
05
—
7801835
—
NC
Enumeration date
03/15/2006
Last updated
08/22/2020
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