Organization Active NPI

Homestead Hills Retirement Limited Partnership

Doing business as dba Homestead Hills

  • Assisted Living Facility
  • Winston Salem, NC
National Provider Identifier
1023140233
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-034-023 Issued in NC
Legal business name
HOMESTEAD HILLS RETIREMENT LIMITED PARTNERSHIP
Doing business as
dba Homestead Hills
Practice address
2101 Homestead Hills Dr
Winston Salem, NC 27103-6445
Phone
(336) 659-0708
Fax
(336) 659-8506
NPI assigned
Mar 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Donald O. Thompson Jr.
Title
Executive Officer
Phone
(704) 246-1620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-034-023 NC Primary

Addresses

Primary practice location

2101 Homestead Hills Dr
Winston Salem, NC 27103-6445

Mailing address

10706 Sikes PL Ste 150
Charlotte, NC 28277-8140
Phone (704) 246-1620

Other names 1

  • dba Homestead Hills Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2055437Homestead Hills Retirement Limited2101 Homestead Hills Drive, Winston Salem, NC 27103Certificate of waiverMar 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dba Homestead Hills2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10706 Sikes Pl
Ste 150
Charlotte, NC 28277

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023140233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 SIKES PL STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778140",
            "telephone_number": "704-246-1620",
            "fax_number": "704-246-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 HOMESTEAD HILLS DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036445",
            "telephone_number": "336-659-0708",
            "fax_number": "336-659-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD HILLS RETIREMENT LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "704-246-1620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-034-023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Homestead Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.