MAGNOLIA ESTATES SKILLED CARE FACILITY
NPI 1376510784
Skilled Nursing Facility in Spencer, NC

Active since March 03, 2006CLIA 34D0985741 · Waiver
1404 S SALISBURY AVE, SPENCER, NC 28159(704) 633-3892(704) 637-2784 Get Directions Write a Review

NPPES record last updated: July 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magnolia Estates Skilled Care Facility NPPES

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

MAGNOLIA ESTATES SKILLED CARE FACILITY (NPI 1376510784) is a healthcare organization registered as a skilled nursing facility in Spencer, North Carolina and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through April 26, 2027 and lists Nick Elledge, Vice President, as its authorized official.

NPPES Registry Identity

NPI1376510784
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTRC OF SALISBURY, INC.
Location Address1404 S SALISBURY AVESpencer, NC 28159-1921
Mailing AddressPo Box 5Spencer, NC 28159-0005 · (704) 633-3892 · Fax (704) 637-2784
Fax(704) 637-2784
Organization SubpartNo
Authorized OfficialNick ElledgeVice President · (336) 679-8852
Enumeration DateMarch 3, 2006
Last NPPES UpdateJuly 11, 2014
NPI 1376510784 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 · NH0442
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.
1404 S SALISBURY AVE, Spencer, NC 28159

Other Names 1

Doing Business AsMagnolia Estates Skilled Care Facility

Other Identifiers 4

Other0096GNC · Bcbs Provider No
Medicare ID-Type Unspecified345288NC · Medicare Provider Number
Medicaid3406433NC
Medicaid3405288NC

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 34D0985741

Trc Of Salisbury, Inc Dba Veranda Residential Memory Care Unit · Spencer, NC
Active · expires Apr 26, 2027
CLIA Number34D0985741
Laboratory TypeOther
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorWendy Blackwell
Laboratory Phone(704) 633-3892
Laboratory LocationTrc Of Salisbury, Inc Dba Veranda Residential Memory Care Unit1404 South Salisbury Avenue, Spencer, NC 28159
CLIA data matches this NPI record on: Address Name Phone
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.

Occupational Therapist
1404 S SALISBURY AVE
SPENCER, NC 28159
Occupational Therapy Assistant
1404 S SALISBURY AVE
SPENCER, NC 28159
Occupational Therapy Assistant
1404 S SALISBURY AVE
SPENCER, NC 28159
Speech-Language Pathologist
1404 S SALISBURY AVE
SPENCER, NC 28159
Speech-Language Pathologist
1404 S SALISBURY AVE
SPENCER, NC 28159
Occupational Therapist
1404 S SALISBURY AVE
SPENCER, NC 28159
Occupational Therapy Assistant
1404 S SALISBURY AVE
SPENCER, NC 28159
Occupational Therapist
1404 S SALISBURY AVE
SPENCER, NC 28159

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 Trc Of Salisbury, Inc.'s NPI number?

The NPI number for Trc Of Salisbury, Inc. is 1376510784. It was assigned to this organization in the NPPES registry on March 3, 2006. The provider is doing business as Magnolia Estates Skilled Care Facility.

Where is Trc Of Salisbury, Inc. located?

Trc Of Salisbury, Inc. is located at 1404 S Salisbury Ave, Spencer, NC 28159. The listed phone number is (704) 633-3892.

What is Trc Of Salisbury, Inc.'s specialty?

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

Does Trc Of Salisbury, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0985741) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Trc Of Salisbury, Inc. was last updated on July 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.