ROXBORO NURSING CENTER INC. NPI 1386830248

NPI Information

  • NPI: 1386830248
  • Provider Name: ROXBORO NURSING CENTER, INC.
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • CLIA Number: 34D0679133
  • Address: 901 RIDGE RD
    ROXBORO, NC
    ZIP 27573
  • Phone: (336) 599-0106

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NPI Details

ROXBORO NURSING CENTER, INC. is an adult care home custodial care facility in Roxboro, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. ROXBORO NURSING CENTER, INC. NPI is 1386830248. The provider is registered as an organization entity type.

The provider's business location address is:

901 RIDGE RD
ROXBORO, NC
ZIP 27573-511
Phone: (336) 599-0106
Fax: (336) 597-5788

The provider's authorized official is Nick W Elledge .
The authorized official title is Vice President and has the following contact phone number (336) 679-8852.

The CLIA number assigned to this NPI record is 34D0679133 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/24/2007 and was last updated on 9/24/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeNH0265NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17801192MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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