Provider Demographics
NPI:1841390002
Name:CARTHAGE HEALTHCARE INC.
Entity Type:Organization
Organization Name:CARTHAGE HEALTHCARE INC.
Other - Org Name:PINELAKE HEALTH & REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-290-2722
Mailing Address - Street 1:801 PINEHURST AVE
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NC
Mailing Address - Zip Code:28327-9338
Mailing Address - Country:US
Mailing Address - Phone:910-947-5155
Mailing Address - Fax:910-947-5631
Practice Address - Street 1:801 PINEHURST AVE
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NC
Practice Address - Zip Code:28327-9338
Practice Address - Country:US
Practice Address - Phone:910-947-5155
Practice Address - Fax:910-947-5631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0539310400000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7805231Medicaid
NC3425429Medicaid
NC342603WMedicaid
NC345429Medicare ID - Type UnspecifiedMC PROVIDER #