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

NPI Status: Active since March 03, 2006

Contact Information

1404 S SALISBURY AVE
SPENCER, NC
ZIP 28159
Phone: (704) 633-3892
Fax: (704) 637-2784

Get Directions Write a Review

  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 34D0985741
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 04-26-2027

About MAGNOLIA ESTATES SKILLED CARE FACILITY

This page provides the complete NPI Profile along with additional information for Magnolia Estates Skilled Care Facility, a provider established in Spencer, North Carolina operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1376510784 assigned on March 2006. The practitioner's primary taxonomy code is 314000000X with license number NH0442 (NC). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Magnolia Estates Skilled Care Facility. The authorized official of this NPI record is Mr. Nick Elledge (Vice President)

NPI
1376510784
Provider Legal Name
TRC OF SALISBURY, INC.
Other Organization Name
MAGNOLIA ESTATES SKILLED CARE FACILITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1404 S SALISBURY AVE SPENCER, NC 28159
Location Phone
(704) 633-3892
Location Fax
(704) 637-2784
Mailing Address
PO BOX 5 SPENCER, NC 28159
Mailing Phone
(704) 633-3892
Mailing Fax
(704) 637-2784
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2006
Last Update Date
07-11-2014
Code Navigator

Location Map

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
License No.
NH0442
License State
NC
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.

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.

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. NICK ELLEDGE

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(336) 679-8852

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
0096GOTHER (01)NCBCBS PROVIDER NO
345288MEDICARE ID-TYPE UNSPECIFIED (04)NCMEDICARE PROVIDER NUMBER
3406433MEDICAID (05)NC 
3405288MEDICAID (05)NC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D0985741
Facility Type
Other
Certificate Effective Date
April 27, 2025
Certificate Expiration Date
April 26, 2027
Laboratory Director
WENDY BLACKWELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Magnolia Estates Skilled Care Facility to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MAGNOLIA ESTATES SKILLED CARE FACILITY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376510784, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 1 + 0 + 1 + 0 + 7 + 1 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1376510784.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapy Assistant
1404 S SALISBURY AVE
SPENCER, NC 28159
Occupational Therapy Assistant
1404 S SALISBURY AVE
SPENCER, NC 28159
Physical Therapy Assistant
1404 S SALISBURY AVE
SPENCER, NC 28159
Occupational Therapy Assistant
1404 S SALISBURY AVE
SPENCER, NC 28159
Physical 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
Occupational Therapist
1404 S SALISBURY AVE
SPENCER, NC 28159
Occupational Therapist
1404 S SALISBURY AVE
SPENCER, NC 28159
Occupational Therapist
1404 S SALISBURY AVE
SPENCER, NC 28159
Custodial Care Facility (Adult Care Home)
1404 S SALISBURY AVE
SPENCER, NC 28159
Speech-Language Pathologist
1404 S SALISBURY AVE
SPENCER, NC 28159
Physical Therapy Assistant
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
Physical Therapist
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
Occupational Therapy Assistant
1404 S SALISBURY AVE
SPENCER, NC 28159
Assisted Living Facility
1404 S SALISBURY AVE
SPENCER, NC 28159

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376510784, enumerated as an "organization" on March 03, 2006.

The provider is located at 1404 S SALISBURY AVE SPENCER, NC 28159 and the phone number is (704) 633-3892.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.