Active NPI
Slay' Rest Home
- Clinic/Center
- Charlotte, NC
National Provider Identifier
1407047343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- HAL 060-038
- Legal business name
- SLAY' REST HOME
- Practice address
- 2920 Cindy LN
Charlotte, NC 28269-4213 - Phone
- (704) 509-9132
- Fax
- (704) 596-8401
- NPI assigned
- Aug 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phyllis Miller Slay
- Title
- Administrator
- Phone
- (704) 596-8401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | HAL 060-038 | NC | Primary |
Addresses
Primary practice location
2920 Cindy LN
Charlotte, NC 28269-4213
Mailing address
2920 Cindy LN
Charlotte, NC 28269-4213
Phone (704) 596-8401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7803805 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186358400000",
"number": "1407047343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 CINDY LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282694213",
"telephone_number": "704-596-8401",
"fax_number": "704-596-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 CINDY LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282694213",
"telephone_number": "704-509-9132",
"fax_number": "704-596-8401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLAY' REST HOME",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-06",
"last_updated": "2007-08-06",
"status": "A",
"authorized_official_last_name": "SLAY",
"authorized_official_first_name": "PHYLLIS",
"authorized_official_middle_name": "MILLER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "704-596-8401"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NC",
"license": "HAL 060-038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7803805",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.