KENANSVILLE HEALTH AND REHABILITATION CENTER
NPI 1689777971
Skilled Nursing Facility in Kenansville, NC

Active since September 05, 2006CLIA 34D2026209 · Waiver
209 BEASLEY STREET, KENANSVILLE, NC 28349(910) 296-1561(910) 296-1016 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenansville Health And Rehabilitation Center NPPES

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

KENANSVILLE HEALTH AND REHABILITATION CENTER (NPI 1689777971) is a healthcare organization registered as a skilled nursing facility in Kenansville, North Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Thomas Simons, Svp Operations Finance, as its authorized official.

NPPES Registry Identity

NPI1689777971
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSSC KENANSVILLE OPERATING COMPANY LLC
Location Address209 BEASLEY STREETKenansville, NC 28349
Mailing Address5300 W Sam Houston Pkwy N, Suite 100Houston, TX 77041-5161 · (832) 467-6000
Fax(910) 296-1016
Organization SubpartNo
Authorized OfficialThomas SimonsSvp Operations Finance · (678) 443-7000
Enumeration DateSeptember 5, 2006
Last NPPES UpdateNovember 16, 2020
NPPES CertifiedNovember 16, 2020
NPI 1689777971 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 · NH0308
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.
209 BEASLEY STREET, Kenansville, NC 28349

Other Names 1

Doing Business AsKenansville Health And Rehabilitation Center

Other Identifiers 1

Medicaid3445150NC

Accepted Insurance

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 34D2026209

Kenansville Rehabilitation And Healthcare · Kenansville, NC
Active · expires Jun 26, 2027
CLIA Number34D2026209
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorJennifer Hulett
Laboratory Phone(910) 296-1561
Laboratory LocationKenansville Rehabilitation And Healthcare209 Beasly Street, Kenansville, NC 28349
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Occupational Therapy Assistant
209 BEASLEY STREET
KENANSVILLE, NC 28349

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 Ssc Kenansville Operating Company LLC's NPI number?

The NPI number for Ssc Kenansville Operating Company LLC is 1689777971. It was assigned to this organization in the NPPES registry on September 5, 2006. The provider is doing business as Kenansville Health And Rehabilitation Center.

Where is Ssc Kenansville Operating Company LLC located?

Ssc Kenansville Operating Company LLC is located at 209 Beasley Street, Kenansville, NC 28349. The listed phone number is (910) 296-1561.

What is Ssc Kenansville Operating Company LLC's specialty?

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

Does Ssc Kenansville Operating Company LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2026209) is associated with this NPI, valid through June 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ssc Kenansville Operating Company LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Ssc Kenansville Operating Company LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ssc Kenansville Operating Company LLC was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.