BRITTHAVEN OF WILKESBORO – NPI #1093902421
Nursing Facility/Intermediate Care Facility

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Health Care Provider Taxonomy Code for Nursing Facility/Intermediate Care Facility

BRITTHAVEN OF WILKESBORO is a facility located in WILKESBORO, NC. NPPES has assigned the NPI number 1093902421 to BRITTHAVEN OF WILKESBORO on October 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRITTHAVEN OF WILKESBORO” is a dba name, the actual legal business name for this organization is OUTER BANKS HAVEN, INC.. The primary taxonomy selected by this provider is 313M00000X from the Health Care Provider Taxonomy code set, which is classified as Nursing Facility/Intermediate Care Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRITTHAVEN OF WILKESBORO below.

NPI Profile for
OUTER BANKS HAVEN, INC.

NPI Number
1093902421
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OUTER BANKS HAVEN, INC.
Doing Business As (dba): BRITTHAVEN OF WILKESBORO
Primary location
1016 FLETCHER ST
WILKESBORO, NC 28697-9472
Phone: (336) 667-9261 Fax: (336) 667-4825
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NORWOOD UZZELL
PRESIDENT
Phone: (252) 523-9094
Updated
Identifiers

Identifiers for BRITTHAVEN OF WILKESBORO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC3406231
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
313M00000X
- Nursing Facility/Intermediate Care Facility (Primary)		 NC NH0295

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.