Organization · Type 2 NPI

NC Dept of Miltary and Veterans Affairs NC Division of Veteran Aff

Skilled Nursing Facility · Black Mountain, NC

NPI number 1578814588 Active

Practice location

62 Lake Eden Road
Black Mountain, NC 28711-8706

Fax (919) 807-4266

Mailing address

4001 Mail Service Center
Raleigh, NC 27699-4000

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNH0631 (NC)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1578814588

NC Dept of Miltary and Veterans Affairs NC Division of Veteran Aff's National Provider Identifier is 1578814588, issued on Oct 1, 2012. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Black Mountain, NC. The record was last updated on Jul 24, 2025.