Organization Active NPI

Toney Rest Home Inc

  • Adult Care Home Facility
  • Oxford, NC
National Provider Identifier
1124152939
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HAL-039-005 Issued in NC
Legal business name
TONEY REST HOME INC
Practice address
904 Raleigh St
Oxford, NC 27565-3744
Phone
(919) 693-2123
Fax
(919) 690-0984
NPI assigned
Mar 15, 2007
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. Charles L Faulkner Jr.
Title
President
Phone
(919) 693-2123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X HAL-039-005 NC Primary

Addresses

Primary practice location

904 Raleigh St
Oxford, NC 27565-3744

Mailing address

904 Raleigh St
Oxford, NC 27565-3744
Phone (919) 693-2123

Other identifiers 1

IdentifierTypeStateIssuer
7803825MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124152939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 RALEIGH ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653744",
            "telephone_number": "919-693-2123",
            "fax_number": "919-690-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 RALEIGH ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653744",
            "telephone_number": "919-693-2123",
            "fax_number": "919-690-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONEY REST HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-693-2123",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-039-005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803825",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, 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.