Organization Active NPI

Luxury Learning Resort and Spa

  • Early Intervention Provider Agency
  • Sanford, NC
National Provider Identifier
1205293032
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
LUXURY LEARNING RESORT AND SPA
Practice address
201 N Horner Blvd
Sanford, NC 27330-3913
Phone
(919) 777-6908
NPI assigned
Jan 25, 2016
Last updated
Jan 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Kesha Ridges
Title
Executive Director
Phone
(919) 777-6908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NC Primary

Addresses

Primary practice location

201 N Horner Blvd
Sanford, NC 27330-3913

Mailing address

201 N Horner Blvd
Sanford, NC 27330-3913
Phone (919) 777-6908

Other identifiers 1

IdentifierTypeStateIssuer
121179MedicaidNC

National Provider Directory

National Provider Directory

Locations

201 N Horner Blvd
Sanford, NC 27330
Phone (919) 777-6908

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1205293032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273303913",
            "telephone_number": "919-777-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273303913",
            "telephone_number": "919-777-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXURY LEARNING RESORT AND SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "RIDGES",
        "authorized_official_first_name": "KESHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-777-6908"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121179",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.