Cagle Rest Home
Organization Active NPI Assisted Living Facility · Star, NC
NPI 1295931939 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1295931939
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- HAL062003 (NC)
- Legal business name
- CAGLE REST HOME
- Practice address
- 601 Dover Rd
Star, NC 27356-7772 - Phone
- (901) 428-2981
- Fax
- (910) 428-4376
- NPI assigned
- Jun 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Patricia Cagle
- Title
- Owner
- Phone
- (910) 428-4350
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Cagle Rest Home
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | HAL062003 | NC | Yes |
Addresses
Primary practice location
601 Dover Rd
Star, NC 27356-7772
Mailing address
601 Dover Rd
PO Box 845
Star, NC 27356-7772
Phone (901) 428-2981
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7802357 | Medicaid | NC |
Other providers in Star, NC
- Brookstone Haven of Star Assisted Living, LLC
- Cagles Rest Home
- Carolinas Alliance for Residential Excellence - Star, LLC
- CNC Family Medicine, PLLC
- Crowder Family Care
- Wanda Michelle Dees
All providers in Star, NC · Assisted Living Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.