Caswell House One, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-017-043 Issued in NC

Legal business name

CASWELL HOUSE ONE, LLC

Practice address

535 US Hwy 158 West
Yanceyville, NC 27379

Phone

(336) 694-1555

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charles E Trefzger Jr.

Title

Manager

Phone

(828) 322-5535

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Caswell House Other name

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1497955207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 8TH AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013312",
            "telephone_number": "828-322-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 US HWY 158 WEST",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "27379",
            "telephone_number": "336-694-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASWELL HOUSE ONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "TREFZGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-322-5535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-017-043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805863",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caswell House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eugene Everette Benfield III, O.D.
• Martin J Berger, M.D.
• Brittany Kayoulah Bourne
• Burlington Care Center
• Caswell County Schools
• Michael James Chapman, RRT-NPS
• Kelly Lynn Cobb, FNP-BC
• Compassion Health Care Inc
• Compassion Health Care Inc
• Compassion Health Care Inc

• Assisted Living Facility in Yanceyville, NC
• Providers in Yanceyville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.