BREVARD NC OPCO LLC
NPI 1699546762
Skilled Nursing Facility in Brevard, NC

Active since January 09, 2024CLIA 34D0677608 · Waiver
115 N COUNTRY CLUB RD, BREVARD, NC 28712(828) 884-2031 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brevard Nc Opco Llc NPPES

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

BREVARD NC OPCO LLC (NPI 1699546762) is a healthcare organization registered as a skilled nursing facility in Brevard, North Carolina and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Israel Friedman, Coo, as its authorized official.

NPPES Registry Identity

NPI1699546762
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBREVARD NC OPCO LLC
Location Address115 N COUNTRY CLUB RDBrevard, NC 28712-8990
Mailing Address3512 Quentin RdBrooklyn, NY 11234-4244
Organization SubpartNo
Authorized OfficialIsrael FriedmanCoo · (845) 825-0449
Enumeration DateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
NPI 1699546762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
115 N COUNTRY CLUB RD, Brevard, NC 28712

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 34D0677608

Brevard Nc Opco LLC · Brevard, NC
Active · expires Aug 31, 2026
CLIA Number34D0677608
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSusan H. Robinson
Laboratory Phone(828) 884-2031
Laboratory LocationBrevard Nc Opco LLC115 North Country Club Road, Brevard, NC 28712
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 6

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

Skilled Nursing Facility
115 N COUNTRY CLUB RD
BREVARD, NC 28712
Nurse Practitioner (Family)
115 N COUNTRY CLUB RD
BREVARD, NC 28712
Occupational Therapy Assistant
115 N COUNTRY CLUB RD
BREVARD, NC 28712
Licensed Practical Nurse
115 N COUNTRY CLUB RD
BREVARD, NC 28712
Clinic/Center (Physical Therapy)
115 N COUNTRY CLUB RD
BREVARD, NC 28712
General Practice
115 N COUNTRY CLUB RD
BREVARD, NC 28712

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 Brevard Nc Opco LLC's NPI number?

The NPI number for Brevard Nc Opco LLC is 1699546762. It was assigned to this organization in the NPPES registry on January 9, 2024.

Where is Brevard Nc Opco LLC located?

Brevard Nc Opco LLC is located at 115 N Country Club Rd, Brevard, NC 28712. The listed phone number is (828) 884-2031.

What is Brevard Nc Opco LLC's specialty?

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

Does Brevard Nc Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0677608) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brevard Nc Opco LLC accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Brevard Nc Opco 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 Brevard Nc Opco LLC was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.