Lea's Assisted Living #1, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-093-009 Issued in NC

Legal business name

LEA'S ASSISTED LIVING #1, INC.

Doing business as

Floyd B. McKissick Sr. Assisted Living Center

Practice address

962 Manson Axtell Rd
Norlina, NC 27563-9451

Phone

(252) 456-2090

Fax

(252) 456-5118

NPI assigned

Jul 15, 2009

Last updated

Jul 15, 2009By 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. Linda P. Lea

Title

Administrator

Phone

(252) 456-2090

Specialties & licenses 1

Addresses

Other names 1

• Floyd B. McKissick Sr. Assisted Living Center Doing business as

Locations

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1275763039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 MANSON AXTELL RD",
            "city": "NORLINA",
            "state": "NC",
            "postal_code": "275639451",
            "telephone_number": "252-456-2090",
            "fax_number": "252-456-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 MANSON AXTELL RD",
            "city": "NORLINA",
            "state": "NC",
            "postal_code": "275639451",
            "telephone_number": "252-456-2090",
            "fax_number": "252-456-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEA'S ASSISTED LIVING #1, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "LEA",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-456-2090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-093-009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floyd B. McKissick Sr. Assisted Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Norlina, NC
• Providers in Norlina, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.