POPLAR HEIGHTS CARE AND REHABILITATION CENTER
NPI 1003860412
Skilled Nursing Facility in Elizabethtown, NC

NPI Status: Active since May 20, 2006

Contact Information

804 S POPLAR ST
ELIZABETHTOWN, NC
ZIP 28337
Phone: (910) 862-8100
Fax: (910) 862-5386

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 34D0943137
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 03-22-2026

About POPLAR HEIGHTS CARE AND REHABILITATION CENTER

This page provides the complete NPI Profile along with additional information for Poplar Heights Care And Rehabilitation Center, a provider established in Elizabethtown, North Carolina operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1003860412 assigned on May 2006. The practitioner's primary taxonomy code is 314000000X with license number NH0420 (NC). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Poplar Heights Care And Rehabilitation Center. The authorized official of this NPI record is William A Mathies (President Director)

NPI
1003860412
Provider Legal Name
SUNBRIDGE RETIREMENT CARE ASSOCIATES LLC
Other Organization Name
POPLAR HEIGHTS CARE AND REHABILITATION CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
804 S POPLAR ST ELIZABETHTOWN, NC 28337
Location Phone
(910) 862-8100
Location Fax
(910) 862-5386
Mailing Address
101 SUN AVE NE COMPLIANCE DEPARTMENT ALBUQUERQUE, NM 87109
Mailing Phone
(505) 468-5604
Mailing Fax
(910) 862-5386
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-20-2006
Last Update Date
09-29-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
NH0420
License State
NC
Taxonomy Description
(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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM A MATHIES

Authorized Official Title
PRESIDENT DIRECTOR
Authorized Official Phone
(505) 821-3355

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
17968OTHER (01)NCPARTNERS
345267OTHER (01)MEDCOST/MULTIPLAN
0088KOTHER (01)NCBCBS
0088KOTHER (01)NCSTATE BCBS
3415267MEDICAID (05)NC 
71-08310OTHER (01)UNITED HEALTHCARE
7803906MEDICAID (05)NC 
3416389MEDICAID (05)NC 
345267MEDICARE OSCAR/CERTIFICATION (06) 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D0943137
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
March 23, 2024
Certificate Expiration Date
March 22, 2026
Laboratory Director
BETH BULLARD RN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Poplar Heights Care And Rehabilitation Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for POPLAR HEIGHTS CARE AND REHABILITATION CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003860412
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003166042
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 1 + 6 + 6 + 0 + 4 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1003860412 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780088971 SOPHIA WATTS
Individual
Skilled Nursing Facility804 S POPLAR ST
ELIZABETHTOWN, NC 28337
(910) 862-8100
1982075883 KELLY LINVILLE
Individual
Occupational Therapy Assistant804 S POPLAR ST
ELIZABETHTOWN, NC 28337
(910) 862-8100
1497283899BLADEN EAST HEALTH AND REHAB LLC
Organization
Skilled Nursing Facility804 S POPLAR ST
ELIZABETHTOWN, NC 28337
(910) 862-8100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003860412, enumerated in the NPI registry as an "organization" on May 20, 2006

The provider is located at 804 S Poplar St Elizabethtown, Nc 28337 and the phone number is (910) 862-8100

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Aetna CVS Health, Cigna Healthcare, Medicare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 34D0943137 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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