Organization Active NPI

Newport House LLC

Doing business as Newport House

  • Assisted Living Facility
  • Newport, NC
National Provider Identifier
1275540387
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-016-016 Issued in NC
Legal business name
NEWPORT HOUSE LLC
Doing business as
Newport House
Practice address
453 Howard Boulevard
Newport, NC 28570-9244
Phone
(252) 223-4554
Fax
(252) 223-5350
NPI assigned
Aug 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Charles E Trefzger
Title
Manager
Phone
(828) 324-8898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-016-016 NC Primary

Addresses

Primary practice location

453 Howard Boulevard
Newport, NC 28570-9244

Mailing address

1978 8TH Ave NW
Hickory, NC 28601-3312
Phone (828) 322-5535

Other identifiers 1

IdentifierTypeStateIssuer
7805559MedicaidNC

Other names 1

  • Newport House Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275540387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 8TH AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013312",
            "telephone_number": "828-322-5535",
            "fax_number": "828-322-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 HOWARD BOULEVARD",
            "city": "NEWPORT",
            "state": "NC",
            "postal_code": "285709244",
            "telephone_number": "252-223-4554",
            "fax_number": "252-223-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TREFZGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-324-8898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-016-016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805559",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, 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.