NPIMap

Organization Active NPI

Primrose Villa

  • Assisted Living Facility
  • Angier, NC
National Provider Identifier
1245376714
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-043013 Issued in NC
Legal business name
PRIMROSE VILLA
Practice address
431 Junny Road
Angier, NC 27501
Phone
(919) 639-8998
Fax
(919) 639-8998
NPI assigned
Jan 30, 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
Mrs. Millicent Shyllon
Title
Administrator
Phone
(919) 639-8998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-043013 NC Primary

Addresses

Primary practice location

431 Junny Road
Angier, NC 27501

Mailing address

PO Box 1091
Angier, NC 27501-1091
Phone (919) 639-8998

National Provider Directory

National Provider Directory
Tax ID family
Primrose Villa4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245376714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1091",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275011091",
            "telephone_number": "919-639-8998",
            "fax_number": "919-639-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 JUNNY ROAD",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "27501",
            "telephone_number": "919-639-8998",
            "fax_number": "919-639-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMROSE VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHYLLON",
        "authorized_official_first_name": "MILLICENT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-639-8998",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-043013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angier, 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.