Organization Active NPI

Crescent Green Inc.

Doing business as Tre'More manor ALF

  • Assisted Living Facility
  • Oxford, NC
National Provider Identifier
1144826736
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CRESCENT GREEN INC.
Doing business as
Tre'More manor ALF
Practice address
6016 Pinetown Rd
Oxford, NC 27565-7955
Phone
(919) 914-3531
NPI assigned
Dec 8, 2020
Last updated
Mar 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Sherri Everett
Title
Business Office Manager
Phone
(919) 693-2984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6016 Pinetown Rd
Oxford, NC 27565-7955

Mailing address

6016 Pinetown Rd
Oxford, NC 27565-7955
Phone (919) 693-2984

Other identifiers 1

IdentifierTypeStateIssuer
HAL-039-018MedicaidNC

Other names 1

  • Tre'More manor ALF Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2213875Tre'More Manor6016 Pinetown Rd, Oxford, NC 27565Certificate of waiverFeb 16, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1144826736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6016 PINETOWN RD",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275657955",
            "telephone_number": "919-693-2984",
            "fax_number": "919-603-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6016 PINETOWN RD",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275657955",
            "telephone_number": "919-914-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT GREEN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "919-693-2984"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAL-039-018",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tre'More manor ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.