Provider Demographics
NPI:1134970320
Name:CATAWBA OPERATOR LLC
Entity type:Organization
Organization Name:CATAWBA OPERATOR LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:NEISWANGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-459-0008
Mailing Address - Street 1:4174 SHOOK RD
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28610-8608
Mailing Address - Country:US
Mailing Address - Phone:828-459-0008
Mailing Address - Fax:
Practice Address - Street 1:4174 SHOOK RD
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NC
Practice Address - Zip Code:28610-8608
Practice Address - Country:US
Practice Address - Phone:828-459-0008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-27
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility