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

Ocean Trail Convalescent Center, Inc

Organization Skilled Nursing Facility · NPI 1891761979

Ocean Trail Convalescent Center, Inc is a Skilled Nursing Facility in Southport, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

630 N Fodale Ave
Southport, NC 28461-3538
Phone: (910) 457-9581
Fax: (910) 457-9583
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 NH0322 (NC)

Record details

NPI number1891761979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nick Elledge — Vice President · (336) 679-8852
NPI enumeratedFebruary 27, 2006
Last updated in NPPESSeptember 4, 2007
Mailing addressPo Box 10249, Southport, NC 28461-0249

Other providers in Southport