NPIMap

Organization Active NPI

Glencare Assisted Living, Inc Dba Glencare of Snow Hill

Doing business as Glencare of Snow Hill

  • Assisted Living Facility
  • Kenansville, NC
National Provider Identifier
1114254653
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GLENCARE ASSISTED LIVING, INC DBA GLENCARE OF SNOW HILL
Doing business as
Glencare of Snow Hill
Practice address
210 Limestone Rd
Kenansville, NC 28349-9031
Phone
(910) 275-0058
Fax
(910) 275-0093
NPI assigned
Nov 4, 2009
Last updated
Nov 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Mrs. Anne Kornegay, RN
Title
Vice President
Phone
(910) 275-0058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

210 Limestone Rd
Kenansville, NC 28349-9031

Mailing address

PO Box 339
Kenansville, NC 28349-0339
Phone (910) 275-0058

Other names 1

  • GLENCARE OF SNOW HILL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Glencare Assisted Living Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1114254653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283490339",
            "telephone_number": "910-275-0058",
            "fax_number": "910-275-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LIMESTONE RD",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283499031",
            "telephone_number": "910-275-0058",
            "fax_number": "910-275-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENCARE ASSISTED LIVING, INC DBA GLENCARE OF SNOW HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "KORNEGAY",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "910-275-0058",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLENCARE OF SNOW HILL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenansville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.