Organization Active NPI

Eula K Arthur

Doing business as Leaksville Rest Home

  • Assisted Living Facility
  • Eden, NC
National Provider Identifier
1447372164
Registry record updated Jan 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EULA K ARTHUR
Doing business as
Leaksville Rest Home
Practice address
915 Irving Ave
Eden, NC 27288-5509
Phone
(336) 623-2200
Fax
(336) 623-4200
NPI assigned
Apr 4, 2007
Last updated
Jan 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2011

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

Authorized official

Name
Mrs. Eula K Arthur
Title
Owner
Phone
(336) 623-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

915 Irving Ave
Eden, NC 27288-5509

Mailing address

915 Irving Ave
Eden, NC 27288-5509
Phone (336) 623-2200

Other names 1

  • Leaksville Rest Home Doing business as

National Provider Directory

National Provider Directory

Locations

915 Irving Ave
Eden, NC 27288
Phone (336) 280-5637

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294444800000",
    "number": "1447372164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 IRVING AVE",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885509",
            "telephone_number": "336-623-2200",
            "fax_number": "336-623-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 IRVING AVE",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885509",
            "telephone_number": "336-623-2200",
            "fax_number": "336-623-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EULA K ARTHUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2011-01-08",
        "status": "A",
        "authorized_official_last_name": "ARTHUR",
        "authorized_official_first_name": "EULA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-623-2200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leaksville Rest Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2011; 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.