Carver Manor

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-O46-002 Issued in NC

Legal business name

CARVER MANOR

Practice address

208 Washington Rd
Murfreesboro, NC 27855-9361

Phone

(252) 398-4468

Fax

(252) 398-4468

NPI assigned

Mar 28, 2007

Last updated

Sep 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Willie O Boone

Title

Administraitor

Phone

(252) 398-4468

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1356460406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WASHINGTON RD",
            "city": "MURFREESBORO",
            "state": "NC",
            "postal_code": "278559361",
            "telephone_number": "252-398-4468",
            "fax_number": "252-398-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 WASHINGTON RD",
            "city": "MURFREESBORO",
            "state": "NC",
            "postal_code": "278559361",
            "telephone_number": "252-398-4468",
            "fax_number": "252-398-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARVER MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRAITOR",
        "authorized_official_telephone_number": "252-398-4468"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-O46-002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Murfreesboro, NC
• Providers in Murfreesboro, NC by specialty
• Adult Care Home Facility in North Carolina

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