Spring Arbor of Nags Head, L.P.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-028-001 Issued in NC

Legal business name

SPRING ARBOR OF NAGS HEAD, L.P.

Practice address

803 W Ocean Bay Blvd
Kill Devil Hills, NC 27948-8097

Phone

(252) 449-4455

Fax

(252) 441-0705

NPI assigned

Jul 30, 2006

Last updated

Aug 22, 2020By 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

Lisa Nelson, ADMINISTRATOR

Title

Executive Director

Phone

(252) 449-4455

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spring Arbor of the Outer Banks Other name

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386659191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 W OCEAN BAY BLVD",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279488097",
            "telephone_number": "252-449-4455",
            "fax_number": "252-441-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W OCEAN BAY BLVD",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279488097",
            "telephone_number": "252-449-4455",
            "fax_number": "252-441-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING ARBOR OF NAGS HEAD, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-449-4455",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-028-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805302",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Arbor of the Outer Banks",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gary Steven Smith, OPTICIAN
• Nicole Smith
• Samuel Irby Smith I, DDS, PA
• Spring Arbor Kill Devil Hills NC Tenant, LLC (Spring Arbor Outer Banks)
• Spring Arbor of Nags Head, L.P. (T/A Spring Arbor of the Outer Banks)
• Steven M. Doering DMD, PLLC
• Gregory Szymczyk
• Catherine Taylor, BT
• Mary Kay Terrell Parnell, PHARMD
• Therapy by Adriana

• Assisted Living Facility in Kill Devil Hills, NC
• Providers in Kill Devil Hills, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.