Organization Active NPI

Integrity - Hominy Valley, LLC

  • Assisted Living Facility
  • Candler, NC
National Provider Identifier
1235671827
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
INTEGRITY - HOMINY VALLEY, LLC
Doing business as
Hominy Valley Retirement
Practice address
2189 Smoky Park Hwy
Candler, NC 28715-9702
Phone
(828) 667-0158
Fax
(828) 667-0134
NPI assigned
Nov 14, 2016
Organization subpart
Yes
Parent organization
INTEGRITY SENIOR PROPERTIES INVESTMENTS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Mrs. Janice A Hall
Title
Accounts Receivable Manager
Phone
(904) 543-8382

Specialties & licenses 1

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

Addresses

Primary practice location

2189 Smoky Park Hwy
Candler, NC 28715-9702

Mailing address

115 Professional Dr
Suite 101
Ponte Vedra Beach, FL 32082-6259
Phone (904) 543-8382

Other names 1

  • Hominy Valley Retirement Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hominy Valley Retirement2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1235671827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PROFESSIONAL DR",
            "address_2": "SUITE 101",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320826259",
            "telephone_number": "904-543-8382",
            "fax_number": "904-543-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2189 SMOKY PARK HWY",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287159702",
            "telephone_number": "828-667-0158",
            "fax_number": "828-667-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY - HOMINY VALLEY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRITY SENIOR PROPERTIES INVESTMENTS, LLC",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "904-543-8382",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hominy Valley Retirement",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Candler, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.