Boger City Rest Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-055-002 Issued in NC

Legal business name

BOGER CITY REST HOME

Practice address

1428 Little Valley Lane
Lincolnton, NC 28093-0755

Phone

(704) 732-2220

NPI assigned

Apr 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

Mr. Robert L Nixon

Title

Administrator

Phone

(704) 732-2220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205054681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 755",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280930755",
            "telephone_number": "704-732-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 LITTLE VALLEY LANE",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280930755",
            "telephone_number": "704-732-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOGER CITY REST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-732-2220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-055-002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl Clifford Black III, RPH
• Summer Bentley Blackburn, COTA/L
• Damon Carl Blackley, D.C.
• Kerry Burton Blackwell, PHARMD
• Jenny Bloom
• Jimmy L Bramlett, CRNA
• James Scott Brenner, CRNA
• Bridgette L. Lorigan, D.M.D., P.a.
• Christopher Scott Brogden, RPH
• Brookins Inc (The Drug Store Boger City)

• Assisted Living Facility in Lincolnton, NC
• Providers in Lincolnton, 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.