Piedmont Village at Newton, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-018-014 Issued in NC

Legal business name

PIEDMONT VILLAGE AT NEWTON, INC.

Doing business as

Piedmont Village at Newton

Practice address

1345 Chapman LN
Newton, NC 28658-1778

Phone

(828) 464-6490

Fax

(828) 466-3002

NPI assigned

Jul 21, 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

Mr. Paul Walczak

Title

Ceo

Phone

(561) 627-0664

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Piedmont Village at Newton Doing business as

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437179256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 PGA BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102911",
            "telephone_number": "561-627-0664",
            "fax_number": "561-627-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 CHAPMAN LN",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286581778",
            "telephone_number": "828-464-6490",
            "fax_number": "828-466-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT VILLAGE AT NEWTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALCZAK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-627-0664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-018-014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803559",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Village at Newton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Ross Penland, D.M.D.
• Leandro Pereira
• Clifton Wade Pernell
• Anthony Michael Philips, DO
• Piedmont Village at Newton
• Katherine Powell
• Ashley Racine, MPT
• Kenya Rawlings, LCASA
• Reaves Chiropractic Health Centre, Inc
• Ray Harris Reaves, DC

• Assisted Living Facility in Newton, NC
• Providers in Newton, 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.