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

NPI Status: Active since November 22, 2023

Contact Information

740 DIAMOND SHOALS RD
WILMINGTON, NC
ZIP 28403
Phone: (910) 769-7500

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  • Organization
  • Skilled Nursing Facility

About 630 CAROLINA BAY OPCO LLC

This page provides the complete NPI Profile along with additional information for 630 Carolina Bay Opco Llc, a provider established in Wilmington, North Carolina operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1275308959 assigned on November 2023. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Sharon Makowsky (Authorized Official)

NPI
1275308959
Provider Name
630 CAROLINA BAY OPCO LLC
Entity Type
Organization
Location Address
740 DIAMOND SHOALS RD WILMINGTON, NC 28403
Location Phone
(910) 769-7500
Mailing Address
4500 DORR ST TOLEDO, OH 43615
Mailing Phone
(419) 247-2800
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-22-2023
Last Update Date
11-22-2023
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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
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

SHARON MAKOWSKY

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(419) 247-2800

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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.
1275308959
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221456016910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 6 + 0 + 1 + 6 + 9 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1275308959 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 provider is registered at the same or nearby location.

CAROLINA BAY HEALTHCARE CENTER OF WILMINGTON, LLC

Skilled Nursing Facility

740 DIAMOND SHOALS RD
WILMINGTON, NC
ZIP 28403

(910) 769-7500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275308959, enumerated as an "organization" on November 22, 2023.

The provider is located at 740 DIAMOND SHOALS RD WILMINGTON, NC 28403 and the phone number is (910) 769-7500.

Skilled Nursing Facility with taxonomy code 314000000X.