NPIMap

Organization Active NPI

Dominion Falls Family Care Home O

  • Adult Care Home Facility
  • Asheville, NC
National Provider Identifier
1063616670
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-011-239 Issued in NC
Legal business name
DOMINION FALLS FAMILY CARE HOME O
Practice address
60 Hornot Cir
Unit O
Asheville, NC 28806-3949
Phone
(828) 582-1739
NPI assigned
Jun 14, 2007
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
Martina Boone
Title
Owner
Phone
(828) 582-1739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL-011-239 NC Primary

Addresses

Primary practice location

60 Hornot Cir
Unit O
Asheville, NC 28806-3949

Mailing address

60 Hornot Cir
Unit O
Asheville, NC 28806-3949

Other identifiers 1

IdentifierTypeStateIssuer
FCL-011-239MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Dominion Falls Family Care Home O8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

60 Hornot Cir
Unit O
Asheville, NC 28806
Phone (828) 582-1739

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063616670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HORNOT CIR",
            "address_2": "UNIT O",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HORNOT CIR",
            "address_2": "UNIT O",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063949",
            "telephone_number": "828-582-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION FALLS FAMILY CARE HOME O",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-582-1739"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-011-239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FCL-011-239",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, 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.