Active NPI
Dogwood Villas, Inc
Doing business as Henderson's Assisted Living
- Assisted Living Facility
- Hendersonville, NC
National Provider Identifier
1003184037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- HAL 045113
- Legal business name
- DOGWOOD VILLAS, INC
- Doing business as
- Henderson's Assisted Living
- Practice address
- 74 Lotus LN
Hendersonville, NC 28792-7058 - Phone
- (828) 692-2220
- NPI assigned
- Dec 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert G Crummie
- Title
- Pres/Ceo/ Administrator
- Phone
- (828) 676-9063
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | HAL 045113 | NC | Primary |
Addresses
Primary practice location
74 Lotus LN
Hendersonville, NC 28792-7058
Mailing address
PO Box 999
Mountain Home, NC 28758-0999
Phone (828) 692-2220
Other names 1
- Henderson's Assisted Living
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323043200000",
"number": "1003184037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 999",
"city": "MOUNTAIN HOME",
"state": "NC",
"postal_code": "287580999",
"telephone_number": "828-692-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 LOTUS LN",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287927058",
"telephone_number": "828-692-2220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOGWOOD VILLAS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A",
"authorized_official_last_name": "CRUMMIE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRES/CEO/ ADMINISTRATOR",
"authorized_official_telephone_number": "828-676-9063",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": "HAL 045113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Henderson's Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.