WOODHAVEN NURSING & ALZHEIMER'S CARE CENTER-ICF
NPI 1689741589
Nursing Facility/Intermediate Care Facility in Lumberton, NC

NPI Status: Active since November 29, 2006

Contact Information

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

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About WOODHAVEN NURSING & ALZHEIMER'S CARE CENTER-ICF

This page provides the complete NPI Profile along with additional information for Woodhaven Nursing & Alzheimer's Care Center-icf, a provider established in Lumberton, North Carolina operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1689741589 assigned on November 2006. The practitioner's primary taxonomy code is 313M00000X with license number H0064 (NC). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Woodhaven Nursing & Alzheimer's Care Center-icf. The authorized official of this NPI record is Mr. C. Thomas Johnson Iii Cpa (V. P. Finance)

NPI
1689741589
Provider Legal Name
SOUTHEASTERN REGIONAL MEDICAL CENTER
Other Organization Name
WOODHAVEN NURSING & ALZHEIMER'S CARE CENTER-ICF
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
11-29-2006
Last Update Date
08-22-2020
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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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
H0064
License State
NC
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Insurance Plans Accepted

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

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
3416431MEDICAID (05)NC 

Reviews for WOODHAVEN NURSING & ALZHEIMER'S CARE CENTER-ICF

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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.
1689741589
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691442516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 4 + 4 + 2 + 5 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1689741589 is valid because the calculated check digit 9 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
1528040888SOUTHEASTERN 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
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 1689741589, enumerated in the NPI registry as an "organization" on November 29, 2006

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 Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X

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

This NPI record was last updated on November 29, 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].
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.