Organization Active NPI

Mary L Connor

  • Adult Care Home Facility
  • Asheville, NC
National Provider Identifier
1447375803
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-011-026 Issued in NC
Legal business name
MARY L CONNOR
Practice address
290 Deaverview Rd
Asheville, NC 28806-1311
Phone
(828) 254-0203
Fax
(828) 350-8615
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mrs. Mary Lou Connor
Title
Owner-Administrator
Phone
(828) 254-0203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL-011-026 NC Primary

Addresses

Primary practice location

290 Deaverview Rd
Asheville, NC 28806-1311

Mailing address

290 Deaverview Rd
Asheville, NC 28806-1311
Phone (828) 254-0203

Other identifiers 1

IdentifierTypeStateIssuer
7801407MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1447375803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 DEAVERVIEW RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288061311",
            "telephone_number": "828-254-0203",
            "fax_number": "828-350-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 DEAVERVIEW RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288061311",
            "telephone_number": "828-254-0203",
            "fax_number": "828-350-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY L CONNOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "OWNER-ADMINISTRATOR",
        "authorized_official_telephone_number": "828-254-0203",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-011-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801407",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 19, 2008; 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.