The Heritage of Richlands

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL-067-016 Issued in NC

Legal business name

THE HERITAGE OF RICHLANDS

Practice address

148 Cox Ave
Richlands, NC 28574-6163

Phone

(910) 324-1121

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Charles Vann Pierce

Title

Owner

Phone

(336) 643-0555

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1184893166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273100878",
            "telephone_number": "336-643-0555",
            "fax_number": "336-643-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 COX AVE",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285746163",
            "telephone_number": "910-324-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HERITAGE OF RICHLANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "VANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-643-0555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL067016",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-067-016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805975",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.