Active NPI
Ila Gertrude Harris
- Nursing Home Administrator
- Rougemont, NC
National Provider Identifier
1477754646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- FCL-039-002
- Practice address
- 1017 Hwy 158
Rougemont, NC 27572 - Phone
- (919) 693-7591
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | FCL-039-002 | NC | Primary |
Addresses
Primary practice location
1017 Hwy 158
Rougemont, NC 27572
Mailing address
1017 Hwy 158
Rougemont, NC 27572
Phone (919) 693-7591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FCL-039-002 | NC | MD | Nursing Home Administrator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477754646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 HWY 158",
"city": "ROUGEMONT",
"state": "NC",
"postal_code": "27572",
"telephone_number": "919-693-7591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 HWY 158",
"city": "ROUGEMONT",
"state": "NC",
"postal_code": "27572",
"telephone_number": "919-693-7591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ILA",
"middle_name": "GERTRUDE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "NC",
"license": "FCL-039-002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rougemont, NC
- A Better Stay Residential Support and Learning Center, LLC
- Carmen Hobgood Baird, AGACNP
- Lisa Best, MBA, PHD, RD, LDN
- Freedom House Recovery Center
- Harris Rest Home
- Hashem Healthcare Services, Inc.
- Patricia L Hill
- L&W Helping Hands
- Lobo Workplace Solutions, Inc.
- Tanya Daniella Melton, PERSONALCARESERVICES
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.