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RAINTREE HEALTHCARE OF TABOR CITY LLC NPI 1578748414


NPI Information

NPI: 1578748414
Provider Name: RAINTREE HEALTHCARE OF TABOR CITY, LLC

Doing Business As: WATERBROOKE ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
703 ELIZABETH ST
TABOR CITY, NC
ZIP 28463
Phone: (910) 653-6400
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RAINTREE HEALTHCARE OF TABOR CITY, LLC is an assisted living facility in Tabor City, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. RAINTREE HEALTHCARE OF TABOR CITY, LLC NPI is 1578748414. The provider is registered as an organization entity type.
The provider Is Doing Business As Waterbrooke Assisted Living.

The provider's business location address is:

703 ELIZABETH ST
TABOR CITY, NC
ZIP 28463-603
Phone: (910) 653-6400
Fax: (910) 653-5081

The provider's authorized official is Reema Owens .
The authorized official title is Owner/executive Director and has the following contact phone number (704) 763-6300.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 1/9/2008.


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
1310400000XAssisted Living FacilityHAL024010NORTH CAROLINAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.