Organization Active NPI

Jefferson Care Center

  • Assisted Living Facility
  • Jefferson, NC
National Provider Identifier
1235334178
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL005004 Issued in NC
Legal business name
JEFFERSON CARE CENTER
Practice address
121 Brook St
Jefferson, NC 28640
Phone
(336) 846-9210
Fax
(336) 846-3560
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joyce Yates
Title
Administrator
Phone
(336) 846-9210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL005004 NC Primary

Addresses

Primary practice location

121 Brook St
Jefferson, NC 28640

Mailing address

PO Box 134
Jefferson, NC 28640-0134
Phone (336) 846-9210

National Provider Directory

National Provider Directory

Locations

121 Brook St
Jefferson, NC 28640
Phone (336) 846-2424

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235334178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286400134",
            "telephone_number": "336-846-9210",
            "fax_number": "336-846-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BROOK ST",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "28640",
            "telephone_number": "336-846-9210",
            "fax_number": "336-846-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-846-9210"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL005004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, NC

Sources for this page

  • 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.