417 Mountain Trace LLC
NPI 1760639199ActiveOrganization· Skilled Nursing Facility· Sylva, NC
Skilled Nursing Facility in Sylva, North Carolina, registered in NPPES in August 2008. The authorized official on file is Abraham N/A Shaulson, N/A, President.
Overview
| NPI | 1760639199 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 27, 2008 |
| Last updated in NPPES | Aug 27, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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