The Asbury Homes, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

MHL-024-026 Issued in NC

Legal business name

THE ASBURY HOMES, INC.

Practice address

11337 Joe Brown Hwy S
Tabor City, NC 28463-8597

Phone

(910) 653-5050

Fax

(910) 653-6123

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Hayes

Title

Program Coordinator

Phone

(910) 653-5050

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1336200633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11337 JOE BROWN HWY S",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284638597",
            "telephone_number": "910-653-5050",
            "fax_number": "910-653-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11337 JOE BROWN HWY S",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284638597",
            "telephone_number": "910-653-5050",
            "fax_number": "910-653-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ASBURY HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "910-653-5050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-024-026",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-024-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408732",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabor City Emergency Services Inc.
• Tabor City Family Medical Clinic, PC
• Tabor City Family Medicine Center, Inc.
• Tabor City Medicine Mart, Inc
• Tabor City Medicine Mart, Inc
• Gayle Marie Thompson, D.C.
• William Hal Thompson, D.C.
• Tara Strickland Todd
• Twin State Home Healthcare Services Inc
• Twin States Vital Care, Inc.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tabor City, NC
• Providers in Tabor City, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.