NPIMap

Organization Active NPI

Caylee Place

  • Assisted Living Facility
  • Reidsville, NC
National Provider Identifier
1306199617
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL-079-091 Issued in NC
Legal business name
CAYLEE PLACE
Practice address
538 Warriner St
Reidsville, NC 27320-3053
Phone
(336) 394-4403
Fax
(336) 342-4473
NPI assigned
Oct 24, 2012
Organization subpart
Yes
Parent organization
GRACESON MANOR ADULT CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Ms. Christy Laverne Gwynn
Title
Administrator
Phone
(336) 349-3610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FCL-079-091 NC Primary

Addresses

Primary practice location

538 Warriner St
Reidsville, NC 27320-3053

Mailing address

PO Box 2361
Reidsville, NC 27323-2361
Phone (336) 349-3610

National Provider Directory

National Provider Directory
Tax ID family
Ashlee Place4 organizations share this tax ID, including this one
Part of
Ashlee Place

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": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1306199617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2361",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273232361",
            "telephone_number": "336-349-3610",
            "fax_number": "336-342-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 WARRINER ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203053",
            "telephone_number": "336-394-4403",
            "fax_number": "336-342-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAYLEE PLACE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRACESON MANOR ADULT CARE, LLC",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "GWYNN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "LAVERNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-349-3610",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-079-091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.