Organization Active NPI

Kindred Healthcare

  • Skilled Nursing Facility
  • Jackson, NC
National Provider Identifier
1073770475
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1274 Issued in NC
Legal business name
KINDRED HEALTHCARE
Practice address
200 Hampton Woods Complex
Jackson, NC 27845-9503
Phone
(252) 534-4521
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Mr. James Noyes
Title
Benefits Representative
Phone
(877) 999-7751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1274 NC Primary

Addresses

Primary practice location

200 Hampton Woods Complex
Jackson, NC 27845-9503

Mailing address

680 S 4TH St
Louisville, KY 40202-2407
Phone (187) 799-9775

National Provider Directory

National Provider Directory

Locations

200 Hampton Woods Complex Rd
Jackson, NC 27845
Phone (252) 534-0131

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1073770475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "187-799-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAMPTON WOODS COMPLEX",
            "city": "JACKSON",
            "state": "NC",
            "postal_code": "278459503",
            "telephone_number": "252-534-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "NOYES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "BENEFITS REPRESENTATIVE",
        "authorized_official_telephone_number": "18779997751",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "1274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.