Lake James Lodge Assisted Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL 059032 Issued in NC

Legal business name

LAKE JAMES LODGE ASSISTED LIVING, INC.

Practice address

63 Lakeview Dr N
Marion, NC 28752-8896

Phone

(828) 652-3038

NPI assigned

Dec 6, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Robert G Crummie

Title

Pres/Ceo/ Administrator

Phone

(828) 676-9063

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1124396171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 999",
            "city": "MOUNTAIN HOME",
            "state": "NC",
            "postal_code": "287580999",
            "telephone_number": "828-652-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 LAKEVIEW DR N",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287528896",
            "telephone_number": "828-652-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE JAMES LODGE ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "CRUMMIE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRES/CEO/ ADMINISTRATOR",
        "authorized_official_telephone_number": "828-676-9063",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL 059032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Kim, D.D.S.
• Adam Joseph Kinninger, D.O.
• Christopher Shawn Kirby
• Anne Perry Knight, RPH
• Audrey Jalaine Konigsberg, PA
• Whitney Laney
• Jordan Nicole Laughter, FNP-C
• Jessica Elyse Laws, COTA
• Joy Kristine Laws
• Leap, LLC

• Assisted Living Facility in Marion, NC
• Providers in Marion, 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 Dec 6, 2011; 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.