511 WINDMILL STREET OPCO LLC
NPI 1164230017
Skilled Nursing Facility in Walnut Cove, NC

NPI Status: Active since December 24, 2024

Contact Information

511 WINDMILL ST
WALNUT COVE, NC
ZIP 27052
Phone: (336) 491-4353
Fax: (336) 591-7659

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  • Organization
  • Skilled Nursing Facility

About 511 WINDMILL STREET OPCO LLC

This page provides the complete NPI Profile along with additional information for 511 Windmill Street Opco Llc, a provider established in Walnut Cove, North Carolina operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1164230017 assigned on December 2024. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated March 2025. The provider's . The authorized official of this NPI record is Tiffany Hoback (Manager)

NPI
1164230017
Provider Legal Name
511 WINDMILL STREET OPCO LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
511 WINDMILL ST WALNUT COVE, NC 27052
Location Phone
(336) 491-4353
Location Fax
(336) 591-7659
Mailing Address
511 WINDMILL ST WALNUT COVE, NC 27052
Mailing Phone
(336) 491-4353
Mailing Fax
(336) 591-7659
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-24-2024
Last Update Date
03-10-2025
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Location Map

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
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.

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

TIFFANY HOBACK

Authorized Official Title
MANAGER
Authorized Official Phone
(770) 698-9040

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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.
1164230017
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2112443002
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 4 + 3 + 0 + 0 + 2 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1164230017 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063783108 SANDRA MITCHELL ROBERTSON PTA
Individual
Physical Therapy Assistant511 WINDMILL ST
WALNUT COVE, NC 27052
(336) 591-7357
1033480041 BILLY CHAD MCHONE COTA
Individual
Occupational Therapy Assistant511 WINDMILL ST
WALNUT COVE, NC 27052
(336) 591-7357
1316219504 KELLEY LYNN SHANNON P.T.
Individual
Physical Therapist511 WINDMILL ST
WALNUT COVE, NC 27052
(336) 591-4353
1265865836 BRITTANY WINGATE
Individual
Occupational Therapist511 WINDMILL ST
WALNUT COVE, NC 27052
(336) 591-4353
1386024123MRS. AMELIA MATHIS CAROTHERS
Individual
Student in an Organized Health Care Education/Training Program511 WINDMILL ST
WALNUT COVE, NC 27052
(336) 591-4353
1497263529 HANNAH LEWIS
Individual
Occupational Therapist511 WINDMILL ST
WALNUT COVE, NC 27052
(336) 591-4353
1093304958 OLIVIA ANNBRIA MORGAN
Individual
Physical Therapy Assistant511 WINDMILL ST
WALNUT COVE, NC 27052
(336) 591-4353
1174286108 BAILEY MOSER
Individual
Physical Therapy Assistant511 WINDMILL ST
WALNUT COVE, NC 27052
(336) 591-4353
1831963776 AMANDA LIN ROBERTSON
Individual
Physical Therapy Assistant511 WINDMILL ST
WALNUT COVE, NC 27052
(336) 591-4353
1659319366WALNUT COVE HEALTHCARE LLC
Organization
Skilled Nursing Facility511 WINDMILL ST
WALNUT COVE, NC 27052
(336) 591-4353

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164230017, enumerated in the NPI registry as an "organization" on December 24, 2024

The provider is located at 511 Windmill St Walnut Cove, Nc 27052 and the phone number is (336) 491-4353

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

This NPI record was last updated on December 24, 2024. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.