Organization Active NPI

Carolyn Newell

  • Assisted Living Facility
  • Louisburg, NC
National Provider Identifier
1023172178
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL035017 Issued in NC
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

Updated by the provider on Aug 21, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carolyn Newell2 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

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.

Verify at the official NPI Registry.