NPI 1114735156

1810 Concord Lake Road Opco LLC

Organisation Skilled Nursing Facility Kannapolis, NC

Practice location

Address: 1810 Concord Lake Rd, Kannapolis, NC 28083-6434
Phone: (704) 933-3781
Fax: (704) 933-5002

Authorised official

Name: Tiffany Hoback
Title: Manager
Phone: (770) 698-9040

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in North Carolina →

Registry record

NPI: 1114735156
Entity type: Organization
NPI issued: 23 Dec 2024
Record last updated: 10 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.