PINEHURST HEALTHCARE AND REHABILITATION
NPI 1205803137
Skilled Nursing Facility in Pinehurst, NC

Active since February 28, 2006CLIA 34D0672802 · Waiver
300 BLAKE BLVD, PINEHURST, NC 28374(910) 295-6158(910) 295-6783 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pinehurst Healthcare And Rehabilitation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINEHURST HEALTHCARE AND REHABILITATION (NPI 1205803137) is a healthcare organization registered as a skilled nursing facility in Pinehurst, North Carolina and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Nick Elledge, Vice President, as its authorized official.

NPPES Registry Identity

NPI1205803137
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePINEHURST NURSING CENTER, INC.
Location Address300 BLAKE BLVDPinehurst, NC 28374-8474
Mailing AddressPo Box 5309Pinehurst, NC 28374-5309 · (910) 295-6158 · Fax (910) 295-6783
Fax(910) 295-6783
Organization SubpartNo
Authorized OfficialNick ElledgeVice President · (336) 679-8852
Enumeration DateFebruary 28, 2006
Last NPPES UpdateSeptember 4, 2007
NPI 1205803137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NC · NH0294
Definition

(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.

300 BLAKE BLVD, Pinehurst, NC 28374

Other Names 1

Doing Business AsPinehurst Healthcare And Rehabilitation

Other Identifiers 4

Other0091RNC · Bcbs Provider No
Medicaid3406228NC
Medicare ID-Type Unspecified345370NC · Medicare Provider Number
Medicaid3405370NC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0672802

Liberty Commons Nsg&rehab Ctr Of Moore Co LLC Dba Pinehurst Healthcare & Rehab Center · Pinehurst, NC
Active · expires Aug 31, 2026
CLIA Number34D0672802
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMs. Laura A. Dunn
Laboratory Phone(919) 295-6158
Laboratory LocationLiberty Commons Nsg&rehab Ctr Of Moore Co LLC Dba Pinehurst Healthcare & Rehab Center300 Blake Blvd, Pinehurst, NC 28374
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
300 BLAKE BLVD
PINEHURST, NC 28374
Family Medicine (Geriatric Medicine)
300 BLAKE BLVD
PINEHURST, NC 28374
Custodial Care Facility (Adult Care Home)
300 BLAKE BLVD
PINEHURST, NC 28374
Occupational Therapist
300 BLAKE BLVD
PINEHURST, NC 28374
Occupational Therapy Assistant
300 BLAKE BLVD
PINEHURST, NC 28374
Registered Nurse
300 BLAKE BLVD
PINEHURST, NC 28374
Occupational Therapist
300 BLAKE BLVD
PINEHURST, NC 28374
Occupational Therapy Assistant
300 BLAKE BLVD
PINEHURST, NC 28374

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pinehurst Nursing Center, Inc.'s NPI number?

The NPI number for Pinehurst Nursing Center, Inc. is 1205803137. It was assigned to this organization in the NPPES registry on February 28, 2006. The provider is doing business as Pinehurst Healthcare And Rehabilitation.

Where is Pinehurst Nursing Center, Inc. located?

Pinehurst Nursing Center, Inc. is located at 300 Blake Blvd, Pinehurst, NC 28374. The listed phone number is (910) 295-6158.

What is Pinehurst Nursing Center, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Pinehurst Nursing Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0672802) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pinehurst Nursing Center, Inc. was last updated on September 4, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.