Provider Demographics
NPI:1053380626
Name:SATURN HEALTH, INC
Entity type:Organization
Organization Name:SATURN HEALTH, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-459-2977
Mailing Address - Street 1:1930 W SUGAR CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-4952
Mailing Address - Country:US
Mailing Address - Phone:704-598-4480
Mailing Address - Fax:704-598-4485
Practice Address - Street 1:1930 W SUGAR CREEK RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-4952
Practice Address - Country:US
Practice Address - Phone:704-598-4480
Practice Address - Fax:704-598-4485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-16
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0557314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0091DOtherBCBS PROVIDER NUMBER
NC7803653Medicaid
NC3405489Medicaid
NC340612GMedicaid
NC345489Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER