Hertford Healthcare, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-072-008 Issued in NC

Legal business name

HERTFORD HEALTHCARE, LLC

Practice address

464 Two Mile Desert Road
Hertford, NC 27944

Phone

(252) 426-7464

NPI assigned

Mar 7, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Paula G Armstrong, SW

Title

Managing Member

Phone

(252) 862-5665

Specialties & licenses 1

Addresses

Other names 1

• Hertford Assisted Living Doing business as

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1396086971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 ARTHUR MAJETTE ROAD",
            "city": "AULANDER",
            "state": "NC",
            "postal_code": "27805",
            "telephone_number": "252-426-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 TWO MILE DESERT ROAD",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "27944",
            "telephone_number": "252-426-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERTFORD HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "252-862-5665",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SW"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-072-008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hertford Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Jo Fuller
• Stephanie Stallings Gregory, RPH
• Kasey Lynn Hall, PTA
• Allan Bernard Harris Sr., M.ED
• Healthy Mind Counseling PLLC
• Hertford Manor
• Hertford Manor
• Hertford Opco LLC
• Kenya Holley, DDS
• Homestead Healing

• Assisted Living Facility in Hertford, NC
• Providers in Hertford, 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 Mar 7, 2013; 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.