Christa Assisted Living

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-078-099 Issued in NC

Legal business name

CHRISTA ASSISTED LIVING

Practice address

202 Caple St
Lumberton, NC 28358-7298

Phone

(910) 309-1730

NPI assigned

Jun 9, 2014

Last updated

Jul 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tammie Taylor

Title

Administrator

Phone

(910) 309-1730

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1265845028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 TASHA DR",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482096",
            "telephone_number": "910-309-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CAPLE ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283587298",
            "telephone_number": "910-309-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTA ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-309-1730",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-078-099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children's Health of Carolina, Dba Lumberton Children's Clinic Mental
• Children's Health of Carolina, PA
• Children's Health of Carolina, PA (Children's Health Urgent Care)
• Children's Health of Carolina, PA (Children's Health Lumberton)
• Chosen Health Care Services Inc
• Leslie Christman
• Windy Dotson Christy, PA-C
• Charles Lamotte Clark, OD
• Cynthia Anne Clark, F.N.P.
• Megan G Clark, LCMHCA

• Adult Care Home Facility in Lumberton, NC
• Providers in Lumberton, 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 Jul 14, 2014; 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.