Active NPI
Carolyn Newell
- Assisted Living Facility
- Louisburg, NC
National Provider Identifier
1023172178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- FCL035017
- Legal business name
- CAROLYN NEWELL
- Practice address
- 90 E.F. Cottrell Rd
Louisburg, NC 27549-8664 - Phone
- (919) 496-9926
- Fax
- (919) 496-2375
- NPI assigned
- Dec 21, 2006
- 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
- Mrs. Carolyn Davis Newell
- Title
- Administrator
- Phone
- (919) 496-9926
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | FCL035017 | NC | Primary |
Addresses
Primary practice location
90 E.F. Cottrell Rd
Louisburg, NC 27549-8664
Mailing address
P.O. Box 206
90 E.F. Cottrell Rd
Louisburg, NC 27549-0206
Phone (919) 496-9926
Other names 1
- The Jordan
National Provider Directory
National Provider Directory- Tax ID family
- Carolyn Newell
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Franklinton, NC
- NPI 1285033423
Locations
90 Ef Cottrell Rd
Louisburg, NC 27549
Phone (919) 496-9926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219276800000",
"number": "1023172178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 206",
"address_2": "90 E.F. COTTRELL RD",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275490206",
"telephone_number": "919-496-9926",
"fax_number": "919-496-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 E.F. COTTRELL RD",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275498664",
"telephone_number": "919-496-9926",
"fax_number": "919-496-2375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLYN NEWELL",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2008-08-21",
"status": "A",
"authorized_official_last_name": "NEWELL",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "DAVIS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "919-496-9926",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": "FCL035017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Jordan",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.