GLENCARE ASSISTED LIVING, INC.
NPI 1679612188
Assisted Living Facility in Pink Hill, NC

Active since February 05, 2007
2773 PINEWOOD HOME DR, PINK HILL, NC 28572(252) 568-6167(252) 568-7457 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About GLENCARE ASSISTED LIVING, INC.

This page provides the complete NPI Profile along with additional information for Glencare Assisted Living, Inc., a provider established in Pink Hill, North Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1679612188 assigned on February 2007. The practitioner's primary taxonomy code is 310400000X with license number HAL054051 (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Glencare Assisted Living, Inc.. The authorized official of this NPI record is Mrs. Marian Anne Kornegay R.n. Nha V.p. (Vice President)

NPI
1679612188 Verify this NPI
Provider Legal Name
GLENCARE ASSISTED LIVING, INC.
Other Organization Name
GLENCARE ASSISTED LIVING, INC.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2773 PINEWOOD HOME DR PINK HILL, NC 28572
Location Phone
(252) 568-6167
Location Fax
(252) 568-7457
Mailing Address
PO BOX 339 KENANSVILLE, NC 28349
Mailing Phone
(910) 275-0058
Mailing Fax
(910) 275-0093
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-05-2007
Last Update Date
08-22-2020
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
HAL054051
License State
NC
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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.

*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

MRS. MARIAN ANNE KORNEGAY R.N. NHA V.P.

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(910) 275-0058

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
7805556MEDICAID (05)NC 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
2773 PINEWOOD HOME DR
PINK HILL, NC 28572

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679612188, enumerated as an "organization" on February 05, 2007.

The provider is located at 2773 PINEWOOD HOME DR PINK HILL, NC 28572 and the phone number is (252) 568-6167.

Assisted Living Facility with taxonomy code 310400000X.

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