Hospitality Retreat

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAH044023 Issued in NC

Legal business name

HOSPITALITY RETREAT

Practice address

65 Loving Way
Clyde, NC 28721-9471

Phone

(828) 452-0913

Fax

(828) 454-0404

NPI assigned

Feb 9, 2007

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

Ms. Gail Reece

Title

Administrator

Phone

(828) 452-0913

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457492654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 LOVING WAY",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287219471",
            "telephone_number": "828-452-0913",
            "fax_number": "828-454-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 LOVING WAY",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287219471",
            "telephone_number": "828-452-0913",
            "fax_number": "828-454-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITALITY RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REECE",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-452-0913",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAH044023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805239",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Denise Hendricks, RN
• John Marshall Highsmith, DDS DICOI AAACD
• Lauren Elisabeth Holliday, DPT
• Meghan Rae Hollifield, LCSWA, LCASA
• Rebecca Ann Holmes, MS,RD,LDN
• Debera L Huderly, M.D.
• Claire Hug, AUD
• Lawson Zebul Hunley, DO
• Sidney Nathan Indgin, MD
• Sally Regina Inglesby-Schaefer, CNM

• Adult Care Home Facility in Clyde, NC
• Providers in Clyde, NC by specialty
• Adult Care Home 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.