NPIMap

Organization Active NPI

Prestigious Homes of NC Inc.

  • Physical Disabilities Residential Treatment Facility
  • Deep Run, NC
National Provider Identifier
1023302114
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
FCL033007 Issued in NC
Legal business name
PRESTIGIOUS HOMES OF NC INC.
Practice address
2094 Will Cunningham Rd
Deep Run, NC 28525-9583
Phone
(252) 521-9340
NPI assigned
Jun 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Authorized official

Name
Mrs. Chaka Terrill Jones
Title
Director
Phone
(252) 521-9340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X FCL033007 NC Primary

Addresses

Primary practice location

2094 Will Cunningham Rd
Deep Run, NC 28525-9583

Mailing address

834 Pender St
Rocky Mount, NC 27801-5726
Phone (252) 521-9340

National Provider Directory

National Provider Directory
Tax ID family
Prestigious Homes of NC Inc2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1023302114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 PENDER ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278015726",
            "telephone_number": "252-521-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 WILL CUNNINGHAM RD",
            "city": "DEEP RUN",
            "state": "NC",
            "postal_code": "285259583",
            "telephone_number": "252-521-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGIOUS HOMES OF NC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHAKA",
        "authorized_official_middle_name": "TERRILL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-521-9340",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NC",
            "license": "FCL033007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deep Run, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.