Provider Demographics
NPI:1740216043
Name:DOWN EAST HEALTHCARE LLC
Entity Type:Organization
Organization Name:DOWN EAST HEALTHCARE LLC
Other - Org Name:DOWN EAST HEALTH AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SPANGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-357-2124
Mailing Address - Street 1:38 CARTERS RD
Mailing Address - Street 2:
Mailing Address - City:GATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27938-9302
Mailing Address - Country:US
Mailing Address - Phone:252-357-2124
Mailing Address - Fax:252-357-2229
Practice Address - Street 1:38 CARTERS RD
Practice Address - Street 2:
Practice Address - City:GATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:27938-9302
Practice Address - Country:US
Practice Address - Phone:252-357-2124
Practice Address - Fax:252-357-2229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0513314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418290Medicaid
NC7805574Medicaid
NC3425406Medicaid
NC3426094Medicaid
NC3425406Medicaid