Bryson City Living Center, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL 087 003 Issued in NC

Legal business name

BRYSON CITY LIVING CENTER, LLC

Practice address

314 Hughes Branch Road
Bryson City, NC 28713

Phone

(828) 488-2780

Fax

(828) 488-5961

NPI assigned

Nov 29, 2007

Last updated

Nov 29, 2007By 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

Kenneth R Hodges, ADMINISTRATOR

Title

Administrator

Phone

(828) 738-3046

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1366624504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 HUGHES BRANCH ROAD",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "28713",
            "telephone_number": "828-488-2780",
            "fax_number": "828-488-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 HUGHES BRANCH ROAD",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "28713",
            "telephone_number": "828-488-2780",
            "fax_number": "828-488-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYSON CITY LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-738-3046",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL 087 003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "HAL 087 003",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bryson City Health Holdings, LLC (Bryson City Living Center)
• Bryson City Note Holdings, LLC (Bryson Senior Living)
• Bryson City Pharmacy Inc (Bryson City Pharmacy)
• Jennifer S Bunnow, MD
• Thomas L Bunnow Jr., MD
• Jordan Haley Cain

• Adult Care Home Facility in Bryson City, NC
• Providers in Bryson City, 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 Nov 29, 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.