Tryon Columbus Retirement Associates, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-075-005 Issued in NC

Legal business name

TRYON COLUMBUS RETIREMENT ASSOCIATES, LLC

Practice address

1062 W Mills St
Columbus, NC 28722-8635

Phone

(828) 894-3900

Fax

(828) 894-8290

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Freddie S. Jones

Title

Executive Director

Phone

(828) 894-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LaurelWoods Assisted Living Doing business as

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326178708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 W MILLS ST",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287228635",
            "telephone_number": "828-894-3900",
            "fax_number": "828-894-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 W MILLS ST",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287228635",
            "telephone_number": "828-894-3900",
            "fax_number": "828-894-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRYON COLUMBUS RETIREMENT ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "FREDDIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-894-3900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-075-005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804629",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaurelWoods Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meagin Sumrall, DC
• Mary Lynn Szymandera, LCAS
• Thomas V. Bolling, M.D., P.a.
• Caleb J Tinsley Sr., DDS
• Barbara Grace Trumble, FNP
• Tryon Family Physicians
• Shane Van Oostendorp, DDS
• Jeffrey Kip Viar, DO
• Krista Wagner
• Theresa Ann Wagoner, PT

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