NPIMap

Organization Active NPI

Smith Street Village Family Care Home, LLC

  • Adult Care Home Facility
  • Asheville, NC
National Provider Identifier
1134583370
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SMITH STREET VILLAGE FAMILY CARE HOME, LLC
Practice address
36 Smith Graveyard Rd
Asheville, NC 28806-9655
Phone
(828) 676-5600
NPI assigned
Apr 13, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Nicholas Bruce Street, BSN, RN
Title
Owner/President
Phone
(828) 676-5600

National Provider Directory

National Provider Directory
Tax ID family
Smith Street Village Family Care Home LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

36 Smith Graveyard Rd
Asheville, NC 28806

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

NPPES NPI Registry

Primary practice location

36 Smith Graveyard Rd
Asheville, NC 28806-9655

Mailing address

PO Box 889
Mountain Home, NC 28758-0889
Phone (828) 676-5600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 13, 2016.

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1134583370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 889",
            "city": "MOUNTAIN HOME",
            "state": "NC",
            "postal_code": "287580889",
            "telephone_number": "828-676-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 SMITH GRAVEYARD RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288069655",
            "telephone_number": "828-676-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH STREET VILLAGE FAMILY CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "STREET",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "828-676-5600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.