Atwater Rest Home Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-092-122 Issued in NC

Legal business name

ATWATER REST HOME INC.

Practice address

312 Lynch St
Apex, NC 27502-2028

Phone

(919) 362-6266

Fax

(919) 362-6298

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Daniel

Title

Manager

Phone

(919) 362-6266

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1235269952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942",
            "address_2": "312 LYNCH ST.",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275020942",
            "telephone_number": "919-362-6266",
            "fax_number": "919-362-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 LYNCH ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275022028",
            "telephone_number": "919-362-6266",
            "fax_number": "919-362-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATWATER REST HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-362-6266",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-092-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.