Organization Active NPI

Saintes Assisted Independent Living

  • Assisted Living Facility
  • Norlina, NC
National Provider Identifier
1093867244
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-093-003 Issued in NC
Legal business name
SAINTES ASSISTED INDEPENDENT LIVING
Practice address
962 Manson Axtell Rd
Norlina, NC 27563-9451
Phone
(252) 456-2060
Fax
(252) 456-2795
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Mrs. Inez M Myles
Title
Administrator
Phone
(252) 456-2090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-093-003 NC Primary

Addresses

Primary practice location

962 Manson Axtell Rd
Norlina, NC 27563-9451

Mailing address

962 Manson Axtell Rd
Norlina, NC 27563-9451
Phone (252) 456-2060

Other identifiers 1

IdentifierTypeStateIssuer
7802731MedicaidNC

Other names 1

  • Floyd B McKissick Sr. Assisted Living Center 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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1093867244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 MANSON AXTELL RD",
            "city": "NORLINA",
            "state": "NC",
            "postal_code": "275639451",
            "telephone_number": "252-456-2060",
            "fax_number": "252-456-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 MANSON AXTELL RD",
            "city": "NORLINA",
            "state": "NC",
            "postal_code": "275639451",
            "telephone_number": "252-456-2060",
            "fax_number": "252-456-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINTES ASSISTED INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "MYLES",
        "authorized_official_first_name": "INEZ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-456-2090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-093-003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802731",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floyd B McKissick Sr. Assisted Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norlina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.