Raveica Assisted Living

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

FCL-018-022 Issued in NC

Legal business name

RAVEICA ASSISTED LIVING

Practice address

5276 Olde School Dr
Hickory, NC 28602

Phone

(828) 294-3894

NPI assigned

Mar 31, 2007

Organization subpart

No

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

Authorized official

Name

Robert Raveica

Title

Owner

Phone

(828) 320-9392

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1093835936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5276 OLDE SCHOOL DR",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28602",
            "telephone_number": "828-294-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5276 OLDE SCHOOL DR",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28602",
            "telephone_number": "828-294-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEICA ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "RAVEICA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-320-9392"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "FCL-018-022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805340",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Bagnato Randall, MA, LPA
• Tiffany Nicole Randazza, LCAS
• Aliyah Rao, BCBA
• Patricia L Ratliff, LMBT
• Eric C Rautiola, M.D.
• Nicole R Ray, CRNA
• Tammy Marie Ray, LCMHC
• Thomas More Ray, M.D.
• Charles Eugene Raymo Jr., PA C
• Janet Reading, LMFT

• Custodial Care Facility in Hickory, NC
• Providers in Hickory, 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 Aug 8, 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.