Premier Living And Rehab Center
Nursing Facility/intermediate Care Facility
106 Cameron St, Lake Waccamaw
North Carolina, 28450-1900
910-646-3132 910-646-4071
Premier Living And Rehab Center is a Nursing Facility/intermediate Care Facility in Lake Waccamaw, North Carolina. It is located at 106 Cameron St, Lake Waccamaw and it's customer support contact number is 910-646-3132. The authorized person of Premier Living And Rehab Center is Mrs. Linda Benton Parnell, LNHA who is Administrator of this DME and her contact number is 910-646-3132. Premier Living And Rehab Center accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Premier Living And Rehab Center is 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.
DME Supplier Details:
Premier Living And Rehab Center type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Premier Living And Rehab Center |
| Type: | Nursing Facility/intermediate Care Facility |
| Location: | 106 Cameron St, Lake Waccamaw,
North Carolina, 28450-1900 |
| Phone: | 910-646-3132 |
| Fax: | 910-646-4071 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Linda Benton Parnell |
| Credentials: | LNHA |
| Position: | Administrator |
| Contact Number: | 910-646-3132 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1720085293 |
| NPI Enumeration Date: | 30 Jun, 2005 |
| NPI Last Update On: | 02 Nov, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Premier Living And Rehab Center are as mentioned below.
| Specialization | License Number | State | Status | |
| Nursing Facility/intermediate Care Facility | | North Carolina | Primary | |
| Nursing Facility Supplies | 5030990001 | North Carolina | Secondary | |
| Parenteral & Enteral Nutrition | 5030990001 | North Carolina | Secondary | |
| Skilled Nursing Facility | NH0246 | North Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3435185 | Medicaid | North Carolina | |
| 3436171 | Medicaid | North Carolina | |
| 7804320 | Medicaid | North Carolina | |
Medicare Enrollment:
Premier Living And Rehab Center is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 106 Cameron St,
Lake Waccamaw, North Carolina |
| Zip: | 28450-1900 |
| Phone Number: | 910-646-3132 |
| Fax Number: | 910-646-4071 |
Patients can reach Premier Living And Rehab Center at
106 Cameron St, Lake Waccamaw, North Carolina or can
call on customer care at 910-646-3132.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.