Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ocean Trail Convalescent Center, Inc.

Skilled Nursing Facility in Southport, NC · enumerated 2006 · authorized official Nick Elledge, Vice President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891761979

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Ocean Trail Convalescent Center, Inc.

Practice address 630 N Fodale Ave, Southport, NC, 28461

Phone (910) 457-9581

Fax (910) 457-9583

Enumeration date Feb 27, 2006

Last updated in NPPES Sep 4, 2007

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License NH0322 (NC) Primary

Authorized official

Name Nick Elledge

Title Vice President

Phone (336) 679-8852

Other identifiers

Identifier	Type	State	Issuer
3405373	Medicaid	NC	-
0092M	Other	NC	BCBS PROVIDER NO
3406253	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Ocean Trail Convalescent Center, Inc.?

Ocean Trail Convalescent Center, Inc. is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-09-04.