NPIMap

Organization Active NPI

Senior Ventures & Management Inc

  • Skilled Nursing Facility
  • Kannapolis, NC
National Provider Identifier
1326210329
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0471 Issued in NC
Legal business name
SENIOR VENTURES & MANAGEMENT INC
Practice address
1285 W a St
Kannapolis, NC 28081-9501
Phone
(704) 932-0000
Fax
(704) 938-6039
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Mr. Thomas E Gatewood III
Title
President
Phone
(704) 932-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0471 NC Primary

Addresses

Primary practice location

1285 W a St
Kannapolis, NC 28081-9501

Mailing address

1285 W a St
Kannapolis, NC 28081-9501
Phone (704) 932-0000

Other identifiers 1

IdentifierTypeStateIssuer
3416505MedicaidNC

Other names 1

  • Big Elm Retirement & Nursing Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Big Elm Retirement Nursing Centers3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1326210329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 W A ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280819501",
            "telephone_number": "704-932-0000",
            "fax_number": "704-938-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 W A ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280819501",
            "telephone_number": "704-932-0000",
            "fax_number": "704-938-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR VENTURES & MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "GATEWOOD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-932-0000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "0471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416505",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Elm Retirement & Nursing Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.