COLONY RIDGE NURSING AND REHABILITATION CENTER – NPI #1356386445
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

COLONY RIDGE NURSING AND REHABILITATION CENTER is a skilled nursing facility (SNF) located in NAGS HEAD, NC. NPPES has assigned the NPI number 1356386445 to COLONY RIDGE NURSING AND REHABILITATION CENTER on June 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COLONY RIDGE NURSING AND REHABILITATION CENTER” is a dba name, the actual legal business name for this organization is TAR RIVER LTC GROUP, LLC. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 15 years ago on Jun 01, 2011. 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 COLONY RIDGE NURSING AND REHABILITATION CENTER below.

NPI Profile for
TAR RIVER LTC GROUP, LLC

NPI Number
1356386445
Enumeration Date

(about 20 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
TAR RIVER LTC GROUP, LLC
Doing Business As (dba): COLONY RIDGE NURSING AND REHABILITATION CENTER
Primary location
430 W HEALTH CENTER DR
NAGS HEAD, NC 27959-8943
Phone: (252) 441-3116 Fax: (252) 441-0247
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NORWOOD UZZELL
PRESIDENT
Phone: (252) 523-9094
Updated
Identifiers

Identifiers for COLONY RIDGE NURSING AND REHABILITATION CENTER

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSS/BLUE SHIELDNC00965
MEDICAIDNC3406309
MEDICAIDNC3425226
MEDICAIDNC3415226
MEDICAIDNC7802299
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
314000000X
- Skilled Nursing Facility (Primary)
NC NH0372

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.