Cook and George Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL099012 Issued in NC

Legal business name

COOK AND GEORGE INC

Doing business as

Piedmont Village At Yadkinville

Practice address

305 Harrison Ave
Yadkinville, NC 27055-8247

Phone

(336) 679-2386

Fax

(336) 679-4510

NPI assigned

Nov 13, 2007

Last updated

Jul 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Cook

Title

Owner

Phone

(336) 682-9334

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Piedmont Village At Yadkinville Doing business as

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1124208640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 MEADOWBROOK MALL CT",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129266",
            "telephone_number": "336-766-8050",
            "fax_number": "336-766-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 HARRISON AVE",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270558247",
            "telephone_number": "336-679-2386",
            "fax_number": "336-679-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK AND GEORGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-682-9334"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL099012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805899",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Village At Yadkinville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Chinn, M.D.
• Kirstan Christian
• Cleveland Nathaniel Cockerham Jr.
• Hope Fox Cole, MPT
• Sandra E Connor
• Cornerstone Health Care PA (Mothershed, Mothershed, Arne & Cates at Yadkin Valley Hospital)
• County of Yadkin (Yadkin County Health Department)
• County of Yadkin (Yadkin County Health Department)
• County of Yadkin Office of Treasurer (Yadkin County Health Department)
• County of Yadkin Office of Treasurer (Yadkin County Health Department)

• Assisted Living Facility in Yadkinville, NC
• Providers in Yadkinville, 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 Jul 2, 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.