OCEAN TRAIL CONVALESCENT CENTER, INC.
NPI 1891761979
Skilled Nursing Facility in Southport, NC

Active since February 27, 2006
630 N FODALE AVE, SOUTHPORT, NC 28461(910) 457-9581(910) 457-9583 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ocean Trail Convalescent Center, Inc. NPPES

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

OCEAN TRAIL CONVALESCENT CENTER, INC. (NPI 1891761979) is a healthcare organization registered as a skilled nursing facility in Southport, North Carolina and active in the NPI registry since February 2006. The organization lists Nick Elledge, Vice President, as its authorized official.

NPPES Registry Identity

NPI1891761979
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameOCEAN TRAIL CONVALESCENT CENTER, INC.
Location Address630 N FODALE AVESouthport, NC 28461-3538
Mailing AddressPo Box 10249Southport, NC 28461-0249 · (910) 457-9581 · Fax (910) 457-9583
Fax(910) 457-9583
Organization SubpartNo
Authorized OfficialNick ElledgeVice President · (336) 679-8852
Enumeration DateFebruary 27, 2006
Last NPPES UpdateSeptember 4, 2007
NPI 1891761979 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 · NH0322
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.
630 N FODALE AVE, Southport, NC 28461

Other Identifiers 4

Other0092MNC · Bcbs Provider No
Medicare ID-Type Unspecified345373NC · Medicare Provider Number
Medicaid3405373NC
Medicaid3406253NC

Other Providers at the Same Location NPPES 16

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

Speech-Language Pathologist
630 N FODALE AVE
SOUTHPORT, NC 28461
Occupational Therapist
630 N FODALE AVE
SOUTHPORT, NC 28461
Occupational Therapy Assistant
630 N FODALE AVE
SOUTHPORT, NC 28461
Occupational Therapist
630 N FODALE AVE
SOUTHPORT, NC 28461
Speech-Language Pathologist
630 N FODALE AVE
SOUTHPORT, NC 28461
Occupational Therapist
630 N FODALE AVE
SOUTHPORT, NC 28461
Physical Therapy Assistant
630 N FODALE AVE
SOUTHPORT, NC 28461
Physical Therapist
630 N FODALE AVE
SOUTHPORT, NC 28461

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 Ocean Trail Convalescent Center, Inc.'s NPI number?

The NPI number for Ocean Trail Convalescent Center, Inc. is 1891761979. It was assigned to this organization in the NPPES registry on February 27, 2006.

Where is Ocean Trail Convalescent Center, Inc. located?

Ocean Trail Convalescent Center, Inc. is located at 630 N Fodale Ave, Southport, NC 28461. The listed phone number is (910) 457-9581.

What is Ocean Trail Convalescent Center, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Ocean Trail Convalescent Center, Inc. was last updated on September 4, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.