Administrative Care Services of Madison Inc.

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

ADMINISTRATIVE CARE SERVICES OF MADISON INC.

Practice address

311 N Serpentine Ave
#1
Hot Springs, NC 28743

Phone

(828) 206-6399

Fax

(828) 622-9845

NPI assigned

Mar 22, 2007

Last updated

Jul 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tonya Jolene Roberts

Title

Office Manager

Phone

(828) 206-6399

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Hot Springs FCH #1 Other name

Tax ID family

Administrative Care Services of Madison 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.

• Administrative Care Services of Madison, Inc.

  • Custodial Care Facility
  • Hot Springs, NC
  • NPI 1629195953
  NPD tax ID

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1093831976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "28753",
            "telephone_number": "828-206-6399",
            "fax_number": "828-622-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N SERPENTINE AVE",
            "address_2": "#1",
            "city": "HOT SPRINGS",
            "state": "NC",
            "postal_code": "28743",
            "telephone_number": "828-206-6399",
            "fax_number": "828-622-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMINISTRATIVE CARE SERVICES OF MADISON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "JOLENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-206-6399"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-057-007",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802064",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hot Springs FCH #1",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hot Springs FCH #1",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Administrative Care Services of Madison, Inc.
• Burton M. Fink
• Sheree Gladden, LMBT
• Hot Springs Health Program (Hot Springs Medical Center Pharmacy)
• Hot Springs Health Program, Inc. (Hot Springs Medical Center)

• Custodial Care Facility in Hot Springs, NC
• Providers in Hot Springs, NC by specialty
• Custodial Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.