NPIMap

Organization Active NPI

Four Oaks Assisted Living

  • Adult Care Home Facility
  • Four Oaks, NC
National Provider Identifier
1326265356
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HAL 051-026 Issued in NC
Legal business name
FOUR OAKS ASSISTED LIVING
Practice address
565 Boyette Rd.
Four Oaks, NC 27524
Phone
(910) 285-5352
NPI assigned
Apr 19, 2007
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Nina C. Williams
Title
Co-Owner
Phone
(910) 285-5352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X HAL 051-026 NC Primary

Addresses

Primary practice location

565 Boyette Rd.
Four Oaks, NC 27524

Mailing address

PO Box 160
Four Oaks, NC 27524-0160
Phone (910) 285-5352

National Provider Directory

National Provider Directory
Tax ID family
Dayspring Assisted Living4 organizations share this tax ID, including this one

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1326265356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "275240160",
            "telephone_number": "910-285-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 BOYETTE RD.",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "27524",
            "telephone_number": "910-285-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR OAKS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "910-285-5352"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL 051-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Four Oaks, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.