630 CAROLINA BAY OPCO LLC
NPI 1275308959
Skilled Nursing Facility in Wilmington, NC

Active since November 22, 2023
740 DIAMOND SHOALS RD, WILMINGTON, NC 28403(910) 769-7500 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 630 Carolina Bay Opco Llc NPPES

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

630 CAROLINA BAY OPCO LLC (NPI 1275308959), doing business as Bradley Creek Health Center, is a healthcare organization registered as a skilled nursing facility in Wilmington, North Carolina and active in the NPI registry since November 2023. The organization lists Sharon Makowsky, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1275308959
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name630 CAROLINA BAY OPCO LLC
Location Address740 DIAMOND SHOALS RDWilmington, NC 28403-4388
Mailing Address4500 Dorr StToledo, OH 43615-4040 · (419) 247-2800
Organization SubpartNo
Authorized OfficialSharon MakowskyAuthorized Official · (419) 247-2800
Enumeration DateNovember 22, 2023
NPPES CertifiedNovember 22, 2023
NPI 1275308959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
740 DIAMOND SHOALS RD, Wilmington, NC 28403

Other Names 1

Doing Business AsBradley Creek Health Center

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
740 DIAMOND SHOALS RD
WILMINGTON, NC 28403

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 630 Carolina Bay Opco LLC's NPI number?

The NPI number for 630 Carolina Bay Opco LLC is 1275308959. It was assigned to this organization in the NPPES registry on November 22, 2023. The provider is doing business as Bradley Creek Health Center.

Where is 630 Carolina Bay Opco LLC located?

630 Carolina Bay Opco LLC is located at 740 Diamond Shoals Rd, Wilmington, NC 28403. The listed phone number is (910) 769-7500.

What is 630 Carolina Bay Opco LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for 630 Carolina Bay Opco LLC was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.