WOODHAVEN NURSING & ALZHEIMER'S CARE CENTER
NPI 1528040888
Skilled Nursing Facility in Lumberton, NC

NPI Status: Active since November 14, 2005

Contact Information

1150 PINE RUN DR
LUMBERTON, NC
ZIP 28358
Phone: (910) 671-5703

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 34D0941519
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 02-25-2026

About WOODHAVEN NURSING & ALZHEIMER'S CARE CENTER

This page provides the complete NPI Profile along with additional information for Woodhaven Nursing & Alzheimer's Care Center, a provider established in Lumberton, North Carolina operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1528040888 assigned on November 2005. The practitioner's primary taxonomy code is 314000000X with license number H0064 (NC). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Woodhaven Nursing & Alzheimer's Care Center. The authorized official of this NPI record is Mr. C. Thomas Johnson Iii Cpa (V. P. Finance)

NPI
1528040888
Provider Legal Name
SOUTHEASTERN REGIONAL MEDICAL CENTER
Other Organization Name
WOODHAVEN NURSING & ALZHEIMER'S CARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1150 PINE RUN DR LUMBERTON, NC 28358
Location Phone
(910) 671-5703
Mailing Address
1150 PINE RUN DR LUMBERTON, NC 28358
Mailing Phone
(910) 671-5703
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2005
Last Update Date
07-07-2016
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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.
H0064
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:

  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO
  • WellCare Secure Health Bronze - PPO
  • WellCare Secure Health Gold - PPO
  • WellCare Secure Health Silver - PPO

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

MR. C. THOMAS JOHNSON III CPA

Authorized Official Title
V. P. FINANCE
Authorized Official Phone
(910) 671-5090

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
3425054MEDICAID (05)NC 
3416431MEDICAID (05)NC 
34-5054MEDICARE ID-TYPE UNSPECIFIED (04)NCFACILITY PROVIDER NUMBER

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
34D0941519
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
February 26, 2024
Certificate Expiration Date
February 25, 2026
Laboratory Director
SANDRA M. PATE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Woodhaven Nursing & Alzheimer's Care 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 WOODHAVEN NURSING & ALZHEIMER'S CARE 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.
1528040888
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548040816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 0 + 4 + 0 + 8 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1528040888 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801872163MRS. TINA ALEXANDER BULLARD RPH
Individual
Pharmacist1150 PINE RUN DR
LUMBERTON, NC 28358
(910) 671-5719
1689650681MR. STEPHEN A MARTIN
Individual
Pharmacist (Pharmacotherapy)1150 PINE RUN DR
LUMBERTON, NC 28358
(910) 671-5719
1538305677SOUTHEASTERN REGIONAL MEDICAL CENTER
Organization
Skilled Nursing Facility1150 PINE RUN DR
LUMBERTON, NC 28358
(910) 671-5703
1295706810SOUTHEASTERN REGIONAL MEDICAL CENTER
Organization
Pharmacist1150 PINE RUN DR
LUMBERTON, NC 28358
(910) 671-5703
1902877541SOUTHEASTERN REGIONAL MEDICAL CENTER
Organization
Skilled Nursing Facility1150 PINE RUN DR
LUMBERTON, NC 28358
(910) 671-5703
1932171378SOUTHEASTERN REGIONAL MEDICAL CENTER
Organization
Durable Medical Equipment & Medical Supplies1150 PINE RUN DR
LUMBERTON, NC 28358
(910) 671-5703
1689741589SOUTHEASTERN REGIONAL MEDICAL CENTER
Organization
Nursing Facility/Intermediate Care Facility1150 PINE RUN DR
LUMBERTON, NC 28358
(910) 671-5703
1285218933DR. ROBIN PEACE LLC
Organization
Family Medicine1150 PINE RUN DR
LUMBERTON, NC 28358
(910) 734-6247
1053090092LIBERTY COMMONS OF ROBESON COUNTY, LLC
Organization
Skilled Nursing Facility1150 PINE RUN DR
LUMBERTON, NC 28358
(910) 671-5703
1902669575 CHARLI RENEE WHITE OTR/L
Individual
Occupational Therapist1150 PINE RUN DR
LUMBERTON, NC 28358
(910) 671-5703
1922700723 LAKAYLA CUMMINGS LOCKLEAR FNP-C
Individual
Nurse Practitioner (Family)1150 PINE RUN DR
LUMBERTON, NC 28358
(910) 671-5703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528040888, enumerated in the NPI registry as an "organization" on November 14, 2005

The provider is located at 1150 Pine Run Dr Lumberton, Nc 28358 and the phone number is (910) 671-5703

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

The provider might be accepting Accepts: WellCare of North Carolina, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 34D0941519 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 November 14, 2005. 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.