Active NPI
K.R.Ram-Z II LLC
- Assisted Living Facility
- Taylorsville, NC
National Provider Identifier
1124125166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 7805438
- Legal business name
- K.R.RAM-Z II LLC
- Practice address
- 3032 NC Highway 16 S
Taylorsville, NC 28681-6295 - Phone
- (828) 632-4443
- Fax
- (828) 635-7333
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth Ray Ramsey
- Title
- Owner
- Phone
- (336) 922-5162
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 7805438 | NC | Primary |
Addresses
Primary practice location
3032 NC Highway 16 S
Taylorsville, NC 28681-6295
Mailing address
2251 Sallies LN
Winston Salem, NC 27106-8613
Phone (336) 922-5162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7805438 | Medicaid | NC |
Other names 1
- Shady Rest Home
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124125166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 SALLIES LN",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271068613",
"telephone_number": "336-922-5162",
"fax_number": "336-922-2074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3032 NC HIGHWAY 16 S",
"city": "TAYLORSVILLE",
"state": "NC",
"postal_code": "286816295",
"telephone_number": "828-632-4443",
"fax_number": "828-635-7333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K.R.RAM-Z II LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RAMSEY",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-922-5162",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": "7805438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7805438",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shady Rest Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Taylorsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.