NPIMap

Organization Active NPI

Patton Group, LLC

Doing business as Evans Rest Home

  • Assisted Living Facility
  • Mount Gilead, NC
National Provider Identifier
1427126325
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL062004 Issued in NC
Legal business name
PATTON GROUP, LLC
Doing business as
Evans Rest Home
Practice address
110 Roosevelt Street
Mount Gilead, NC 27306
Phone
(910) 439-4224
NPI assigned
Dec 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Larry W Patton
Title
Member Manager
Phone
(434) 509-4060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL062004 NC Primary

Addresses

Primary practice location

110 Roosevelt Street
Mount Gilead, NC 27306

Mailing address

1045 Main St Ste 4
Danville, VA 24541-1800

Other identifiers 1

IdentifierTypeStateIssuer
7805245MedicaidNC

Other names 1

  • Evans Rest Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rosemont Residential Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427126325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 MAIN ST STE 4",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ROOSEVELT STREET",
            "city": "MOUNT GILEAD",
            "state": "NC",
            "postal_code": "27306",
            "telephone_number": "910-439-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTON GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "434-509-4060"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL062004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805245",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evans Rest Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Gilead, NC

Sources for this page

  • 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.