Organization Active NPI

K.R.Ram-Z II LLC

  • Assisted Living Facility
  • Taylorsville, NC
National Provider Identifier
1124125166
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
7805438 Issued in NC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7805438MedicaidNC

Other names 1

  • Shady Rest Home 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": "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.

Verify at the official NPI Registry.