Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Nc Dept of Miltary and Veterans Affairs Nc Division of Veteran Aff

Organization Skilled Nursing Facility · NPI 1578814588

Nc Dept of Miltary and Veterans Affairs Nc Division of Veteran Aff is a Skilled Nursing Facility in Black Mountain, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012

Practice location Address checks out

62 Lake Eden Rd
Black Mountain, NC 28711-8706
Phone: (828) 257-6800
Fax: (919) 807-4266
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence NH0631 (NC)

Record details

NPI number1578814588
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynethia Holley — Provider Enrollment Spec · (770) 806-6875
Other names Nc State Veterans Home - Black Mtn
NPI enumeratedOctober 1, 2012
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address4001 Mail Service Center, Raleigh, NC 27699-4000

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Black Mountain