Active NPI
Huntersville Oaks
- Skilled Nursing Facility
- Huntersville, NC
National Provider Identifier
1215972609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH0377
- Legal business name
- HUNTERSVILLE OAKS
- Practice address
- 12019 Verhoeff Dr
Huntersville, NC 28078-9217 - Phone
- (704) 875-7400
- Fax
- (704) 874-7490
- NPI assigned
- Jun 18, 2006
- 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
- Ms. Beverly Cowdrick, NHA
- Title
- Administrator
- Phone
- (704) 875-7400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH0377 | NC | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
12019 Verhoeff Dr
Huntersville, NC 28078-9217
Mailing address
12019 Verhoeff Dr
Huntersville, NC 28078-9217
Phone (704) 875-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0469950001 | Other | NC | MEDICARE DME |
Other names 1
- Huntersville Oaks
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237334400000",
"number": "1215972609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12019 VERHOEFF DR",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280789217",
"telephone_number": "704-875-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12019 VERHOEFF DR",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280789217",
"telephone_number": "704-875-7400",
"fax_number": "704-874-7490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTERSVILLE OAKS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2009-03-18",
"status": "A",
"authorized_official_last_name": "COWDRICK",
"authorized_official_first_name": "BEVERLY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "704-875-7400",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NC",
"license": "NH0377",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME",
"identifier": "0469950001",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Huntersville Oaks",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.