Provider Demographics
NPI:1598234148
Name:HCP GREENSBORO NC OPCO, LLC
Entity Type:Organization
Organization Name:HCP GREENSBORO NC OPCO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMANUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-297-4700
Mailing Address - Street 1:1208 NEW GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2679
Mailing Address - Country:US
Mailing Address - Phone:336-297-4700
Mailing Address - Fax:336-297-1244
Practice Address - Street 1:1208 NEW GARDEN RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-2679
Practice Address - Country:US
Practice Address - Phone:336-297-4700
Practice Address - Fax:336-297-1244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility