Active NPI
DLP Haywood Regional Medical Center LLC
- General Acute Care Hospital
- Clyde, NC
National Provider Identifier
1164407649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- DLP HAYWOOD REGIONAL MEDICAL CENTER LLC
- Practice address
- 243 Jones Cove Rd
Clyde, NC 28721-9483 - Phone
- (828) 452-8811
- Fax
- (828) 627-2406
- NPI assigned
- Dec 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victor E. Giovanetti
- Title
- President
- Phone
- (615) 920-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
243 Jones Cove Rd
Clyde, NC 28721-9483
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3401550 | Medicaid | NC |
Other names 1
- Haywood Hospice & Palliative Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jan 1, 2017 | Change of Ownership | Haywood Hospice & Palliative Care |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Waynesville, NC
- NPI 1841736295
Sold to, 2017-01-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1495497600000",
"number": "1164407649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SEVEN SPRINGS WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275098",
"telephone_number": "615-920-7000",
"fax_number": "615-920-8913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 JONES COVE RD",
"city": "CLYDE",
"state": "NC",
"postal_code": "287219483",
"telephone_number": "828-452-8811",
"fax_number": "828-627-2406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DLP HAYWOOD REGIONAL MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-07",
"last_updated": "2017-05-23",
"status": "A",
"authorized_official_last_name": "GIOVANETTI",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-920-7000"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3401550",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Haywood Hospice & Palliative Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clyde, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.