Chestnut Park Rest Home #1

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL044002 Issued in NC

Legal business name

CHESTNUT PARK REST HOME #1

Practice address

64 Chestnut Park Dr
Waynesville, NC 28786-4180

Phone

(828) 452-1102

Fax

(828) 456-9857

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Frances Smith

Title

Administrator

Phone

(828) 452-1002

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1225157365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CHESTNUT PARK DR",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287864180",
            "telephone_number": "828-452-1102",
            "fax_number": "828-456-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CHESTNUT PARK DR",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287864180",
            "telephone_number": "828-452-1102",
            "fax_number": "828-456-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT PARK REST HOME #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-452-1002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL044002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802414",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Living Enrichment
• Alda Chambers
• Bryanna Warren Chambers, PTA
• Kara Chandler, COTA/L
• Elizabeth Morgan Chappell, RN, PMHNP-BC
• Ella Childs Churchill, N.P.
• Lynette Cisneros, LPC
• Lori J Clancy, LPC
• Jamie Clark, MA, LCMHC
• Terrance P Clark, MD

• Adult Care Home Facility in Waynesville, NC
• Providers in Waynesville, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.