Provider Demographics
NPI:1962471656
Name:BN HEALTHCARE, LLC
Entity Type:Organization
Organization Name:BN HEALTHCARE, LLC
Other - Org Name:OXFORD MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:PRATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-633-0055
Mailing Address - Street 1:500 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-2573
Mailing Address - Country:US
Mailing Address - Phone:919-693-1531
Mailing Address - Fax:919-693-0632
Practice Address - Street 1:500 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-2573
Practice Address - Country:US
Practice Address - Phone:919-693-1531
Practice Address - Fax:919-693-0632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0447314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3426430Medicaid
NC7801040Medicaid
NC3425291Medicaid
NC0086XOtherBCBS PROVIDER NUMBER
NC0086XOtherBCBS PROVIDER NUMBER