Provider Demographics
NPI:1568595288
Name:LINVILLE HEIGHTS ADULT CARE
Entity Type:Organization
Organization Name:LINVILLE HEIGHTS ADULT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADM.
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:WHITE
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-584-2360
Mailing Address - Street 1:1095 PADDYS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NEBO
Mailing Address - State:NC
Mailing Address - Zip Code:28761-8606
Mailing Address - Country:US
Mailing Address - Phone:828-584-2360
Mailing Address - Fax:828-584-8090
Practice Address - Street 1:1095 PADDYS CREEK RD
Practice Address - Street 2:
Practice Address - City:NEBO
Practice Address - State:NC
Practice Address - Zip Code:28761-8606
Practice Address - Country:US
Practice Address - Phone:828-584-2360
Practice Address - Fax:828-584-8090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL012-010310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility