Yancey Rest Home Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL068005 Issued in NC

Legal business name

YANCEY REST HOME INC

Practice address

401 N Churton St
Hillsborough, NC 27278-2126

Phone

(919) 732-3551

Fax

(919) 732-3551

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Durham Isley, ADMINISTRATOR

Title

Vice President

Phone

(919) 732-3551

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316004245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N CHURTON ST",
            "address_2": "PO BOX 729",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782126",
            "telephone_number": "919-732-3551",
            "fax_number": "919-732-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N CHURTON ST",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782126",
            "telephone_number": "919-732-3551",
            "fax_number": "919-732-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANCEY REST HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ISLEY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "DURHAM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "919-732-3551",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL068005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803475",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Hillsborough, NC
• Providers in Hillsborough, 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 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.