NPIMap

Organization Active NPI

RV Nursing Home, LLC

Doing business as Rich Square Health Care Center

  • Skilled Nursing Facility
  • Rich Square, NC
National Provider Identifier
1336216779
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0045 Issued in NC
Legal business name
RV NURSING HOME, LLC
Doing business as
Rich Square Health Care Center
Practice address
320 North Main Street
Rich Square, NC 27869-0560
Phone
(252) 539-4161
Fax
(252) 539-4361
NPI assigned
Nov 29, 2006
Last updated
Jul 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Mr. James T Johnson Jr.
Title
Owner
Phone
(252) 209-6834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0045 NC Primary

Addresses

Primary practice location

320 North Main Street
Rich Square, NC 27869-0560

Mailing address

320 North Main Street
P O Box 560
Rich Square, NC 27869-0560
Phone (252) 539-4161

Other names 1

  • Rich Square Health Care Center Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1336216779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 NORTH MAIN STREET",
            "address_2": "P O BOX 560",
            "city": "RICH SQUARE",
            "state": "NC",
            "postal_code": "278690560",
            "telephone_number": "252-539-4161",
            "fax_number": "252-539-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 NORTH MAIN STREET",
            "city": "RICH SQUARE",
            "state": "NC",
            "postal_code": "278690560",
            "telephone_number": "252-539-4161",
            "fax_number": "252-539-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RV NURSING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-209-6834",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rich Square Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rich Square, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.