Organization Active NPI

Regal Legacy Group LLC

Doing business as Moyer's Assisted Living

  • Assisted Living Facility
  • Stoneville, NC
National Provider Identifier
1407390768
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
REGAL LEGACY GROUP LLC
Doing business as
Moyer's Assisted Living
Practice address
5767 NC Highway 135
Stoneville, NC 27048-8477
Phone
(336) 587-4603
NPI assigned
Dec 6, 2016
Last updated
Dec 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Sage Lawson
Title
Ceo
Phone
(336) 394-6423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5767 NC Highway 135
Stoneville, NC 27048-8477

Mailing address

185 Crutchfield Rd
Reidsville, NC 27320-8261
Phone (336) 587-4603

Other names 1

  • Moyer's Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moyer's Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1407390768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CRUTCHFIELD RD",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273208261",
            "telephone_number": "336-587-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5767 NC HIGHWAY 135",
            "city": "STONEVILLE",
            "state": "NC",
            "postal_code": "270488477",
            "telephone_number": "336-587-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL LEGACY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "SAGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-394-6423"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moyer's Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stoneville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.