NPIMap

Organization Active NPI

Siler City Opco, LLC

  • Adult Care Home Facility
  • Siler City, NC
National Provider Identifier
1053952010
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SILER CITY OPCO, LLC
Doing business as
Coventry House of Siler City
Practice address
260 Village Lake Rd
Siler City, NC 27344-1820
Phone
(919) 742-4052
NPI assigned
Oct 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Authorized official

Name
Ms. Traci McLaurin
Title
Executive Director
Phone
(919) 742-4052

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

260 Village Lake Rd
Siler City, NC 27344-1820

Mailing address

260 Village Lake Rd
Siler City, NC 27344-1820
Phone (919) 742-4052

Other names 1

  • Coventry House of Siler City Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1053952010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 VILLAGE LAKE RD",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273441820",
            "telephone_number": "919-742-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 VILLAGE LAKE RD",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273441820",
            "telephone_number": "919-742-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILER CITY OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "MCLAURIN",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-742-4052",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coventry House of Siler City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Siler City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.