Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

630 Carolina Bay Opco LLC

Organization Skilled Nursing Facility · NPI 1275308959

630 Carolina Bay Opco LLC is a Skilled Nursing Facility in Wilmington, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

740 Diamond Shoals Rd
Wilmington, NC 28403-4388
Phone: (910) 769-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1275308959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Makowsky — Authorized Official · (419) 247-2800
Other names Bradley Creek Health Center
NPI enumeratedNovember 22, 2023
Last updated in NPPESNovember 22, 2023
Certification dateNovember 22, 2023
Mailing address4500 Dorr St, Toledo, OH 43615-4040

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