Provider Demographics
NPI:1225000888
Name:CLAPP'S NURSING CENTER, INC.
Entity Type:Organization
Organization Name:CLAPP'S NURSING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:CLAPP
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-674-2252
Mailing Address - Street 1:5229 APPOMATTOX RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27313-8202
Mailing Address - Country:US
Mailing Address - Phone:336-674-2252
Mailing Address - Fax:336-674-9531
Practice Address - Street 1:5229 APPOMATTOX RD
Practice Address - Street 2:
Practice Address - City:PLEASANT GARDEN
Practice Address - State:NC
Practice Address - Zip Code:27313-8202
Practice Address - Country:US
Practice Address - Phone:336-674-2252
Practice Address - Fax:336-674-9531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-07
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0017314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3405024Medicaid
NC3405024Medicaid