630 Carolina Bay Opco LLC
NPI 1275308959 · Skilled Nursing Facility · Wilmington, NC
630 Carolina Bay Opco LLC is a Skilled Nursing Facility organization in Wilmington, NC (NPI 1275308959).
Provider details
- NPI number
- 1275308959
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sharon Makowsky, Authorized Official(419) 247-2800
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bradley Creek Health Center
Registry dates
- Enumerated
- 2023-11-22
- Last updated
- 2023-11-22
- Certified
- 2023-11-22
Frequently asked questions
- What is 630 Carolina Bay Opco LLC's NPI number?
- 630 Carolina Bay Opco LLC's National Provider Identifier (NPI) is 1275308959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 630 Carolina Bay Opco LLC?
- 630 Carolina Bay Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 630 Carolina Bay Opco LLC located?
- 630 Carolina Bay Opco LLC's practice location on file with NPPES is 740 Diamond Shoals Rd, Wilmington, NC 28403-4388.
- What is 630 Carolina Bay Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for 630 Carolina Bay Opco LLC is (910) 769-7500.
- Who is the authorized official for 630 Carolina Bay Opco LLC?
- The authorized official listed on 630 Carolina Bay Opco LLC's NPPES record is Sharon Makowsky, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 630 Carolina Bay Opco LLC's NPI active?
- Yes — 630 Carolina Bay Opco LLC's NPI (1275308959) is active in the NPPES registry as of the last update on 2023-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.