Organization Active NPI

Spring Arbor of Wilmington

  • Assisted Living Facility
  • Wilmington, NC
National Provider Identifier
1033209085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-065-014 Issued in NC
Legal business name
SPRING ARBOR OF WILMINGTON
Practice address
809 John D Barry Dr
Wilmington, NC 28412-0983
Phone
(910) 799-4999
Fax
(910) 799-4644
NPI assigned
Oct 13, 2006
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
Loretta Evans Thomas
Title
Executive Director
Phone
(910) 799-4999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-065-014 NC Primary

Addresses

Primary practice location

809 John D Barry Dr
Wilmington, NC 28412-0983

Mailing address

809 John D Barry Dr
Wilmington, NC 28412-0983
Phone (910) 799-4999

Other identifiers 1

IdentifierTypeStateIssuer
7803206MedicaidNC

National Provider Directory

National Provider Directory

Locations

809 John D Barry Dr
Wilmington, NC 28412
Phone (833) 961-3326

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033209085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 JOHN D BARRY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284120983",
            "telephone_number": "910-799-4999",
            "fax_number": "910-799-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 JOHN D BARRY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284120983",
            "telephone_number": "910-799-4999",
            "fax_number": "910-799-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING ARBOR OF WILMINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "EVANS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-799-4999"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-065-014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803206",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.