Provider Demographics
NPI:1417076415
Name:LANCASTER HEALTH CARE,INC.
Entity Type:Organization
Organization Name:LANCASTER HEALTH CARE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:B
Authorized Official - Last Name:LANCASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-528-5954
Mailing Address - Street 1:158 DRIFTWOOD COVE DR
Mailing Address - Street 2:
Mailing Address - City:TROUTMAN
Mailing Address - State:NC
Mailing Address - Zip Code:28166-8646
Mailing Address - Country:US
Mailing Address - Phone:704-528-5954
Mailing Address - Fax:704-528-1194
Practice Address - Street 1:3134 HARMONY HWY
Practice Address - Street 2:
Practice Address - City:HARMONY
Practice Address - State:NC
Practice Address - Zip Code:28634-9359
Practice Address - Country:US
Practice Address - Phone:704-546-2671
Practice Address - Fax:704-546-7672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-049-004310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility