Spring Arbor of Nags Head, L.P.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL028001 Issued in NC

Legal business name

SPRING ARBOR OF NAGS HEAD, L.P.

Practice address

803 Bermuda Bay Blvd.
Kill Devil Hills, NC 27948-9537

Phone

(252) 449-4455

Fax

(252) 441-0705

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Fisher

Title

Executive Director

Phone

(252) 449-4455

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• T/A Spring Arbor of the Outer Banks Doing business as

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1124105804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 BERMUDA BAY BLVD",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279489537",
            "telephone_number": "252-449-4455",
            "fax_number": "252-441-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 BERMUDA BAY BLVD.",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279489537",
            "telephone_number": "252-449-4455",
            "fax_number": "252-441-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING ARBOR OF NAGS HEAD, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-449-4455",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL028001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805302",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T/A Spring Arbor of the Outer Banks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harvey Hatcher Shiflet V, DMD
• Gary Steven Smith, OPTICIAN
• Nicole Smith
• Samuel Irby Smith I, DDS, PA
• Spring Arbor Kill Devil Hills NC Tenant, LLC
• Spring Arbor of Nags Head, L.P.
• Steven M. Doering DMD, PLLC
• Gregory Szymczyk
• Catherine Taylor, BT
• Mary Kay Terrell Parnell, PHARMD

• Assisted Living Facility in Kill Devil Hills, NC
• Providers in Kill Devil Hills, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.