Ocean Trail Convalescent Center
NPI 1699961540 · Adult Care Home Facility · Southport, NC
Ocean Trail Convalescent Center is a Adult Care Home Facility organization in Southport, NC (NPI 1699961540).
Provider details
- NPI number
- 1699961540
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Nick Elledge, Vice President(336) 679-8852
- License
- NH0322 (NC)
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
18 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
Registry dates
- Enumerated
- 2007-09-24
- Last updated
- 2008-06-23
Frequently asked questions
- What is Ocean Trail Convalescent Center's NPI number?
- Ocean Trail Convalescent Center's National Provider Identifier (NPI) is 1699961540, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ocean Trail Convalescent Center?
- Ocean Trail Convalescent Center is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Ocean Trail Convalescent Center located?
- Ocean Trail Convalescent Center's practice location on file with NPPES is 630 N Fodale Ave, Southport, NC 28461-3538.
- What is Ocean Trail Convalescent Center's phone number?
- The practice phone number listed in the NPPES registry for Ocean Trail Convalescent Center is (910) 457-9581.
- Who is the authorized official for Ocean Trail Convalescent Center?
- The authorized official listed on Ocean Trail Convalescent Center's NPPES record is Nick Elledge, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ocean Trail Convalescent Center's NPI active?
- Yes — Ocean Trail Convalescent Center's NPI (1699961540) is active in the NPPES registry as of the last update on 2008-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.