Pleasant Grove Retirement Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-001-008 Issued in NC

Legal business name

PLEASANT GROVE RETIREMENT HOME

Practice address

4516 Hwy 49 North
Burlington, NC 27217-7818

Phone

(336) 578-0441

Fax

(336) 578-4787

NPI assigned

May 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert McCormick

Title

General Partner

Phone

(336) 578-0441

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194935734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 N NC 49",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272177818",
            "telephone_number": "336-578-0441",
            "fax_number": "336-578-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 HWY 49 NORTH",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272177818",
            "telephone_number": "336-578-0441",
            "fax_number": "336-578-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT GROVE RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "336-578-0441"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-001-008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801976",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Burlington, NC
• Providers in Burlington, 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 Aug 22, 2020; 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.