Organization Active NPI

The Laurels of Greentree Ridge, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Asheville, NC
National Provider Identifier
1437239167
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
NH 0463 Issued in NC
Legal business name
THE LAURELS OF GREENTREE RIDGE, INC.
Practice address
70 Sweeten Creek Rd
Asheville, NC 28803-2318
Phone
(828) 274-7646
Fax
(828) 277-4752
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Mr. Timothy Patton
Title
Cfo
Phone
(614) 794-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NH 0463 NC Primary

Addresses

Primary practice location

70 Sweeten Creek Rd
Asheville, NC 28803-2318

Mailing address

70 Sweeten Creek Rd
Asheville, NC 28803-2318
Phone (828) 274-7646

Other identifiers 5

IdentifierTypeStateIssuer
923203OtherNCFACILITY ID#
0097YOtherNCBC/BS #
7171166OtherNCUNITED HEALTH CARE ID #
NH0463OtherNCNH LICENSE #
3415303MedicaidNC

Other names 1

  • THE LAURELS OF GREENTREE RIDGE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Laurels of Greentree Ridge2 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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1437239167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SWEETEN CREEK RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032318",
            "telephone_number": "828-274-7646",
            "fax_number": "828-277-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SWEETEN CREEK RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032318",
            "telephone_number": "828-274-7646",
            "fax_number": "828-277-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAURELS OF GREENTREE RIDGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-794-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NC",
            "license": "NH 0463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID#",
            "identifier": "923203",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS #",
            "identifier": "0097Y",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE ID #",
            "identifier": "7171166",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH LICENSE #",
            "identifier": "NH0463",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415303",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE LAURELS OF GREENTREE RIDGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.