Harris Rest Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL039002 Issued in NC

Legal business name

HARRIS REST HOME

Practice address

1017 US Highway 158
Rougemont, NC 27572-8368

Phone

(919) 693-7591

NPI assigned

Aug 28, 2007

Last updated

Aug 28, 2007By 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

Mrs. Ila Gertrude HarrisNPI 1477754646

Title

Administrator

Phone

(919) 693-7591

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ila Gertrude Harris

  • Nursing Home Administrator
  • Rougemont, NC
  • NPI 1477754646
  Authorized official Same address or phone

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1508050188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 US HIGHWAY 158",
            "city": "ROUGEMONT",
            "state": "NC",
            "postal_code": "275728368",
            "telephone_number": "919-693-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 US HIGHWAY 158",
            "city": "ROUGEMONT",
            "state": "NC",
            "postal_code": "275728368",
            "telephone_number": "919-693-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS REST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ILA",
        "authorized_official_middle_name": "GERTRUDE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-693-7591",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL039002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802230",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Better Stay Residential Support and Learning Center, LLC
• Carmen Hobgood Baird, AGACNP
• Lisa Best, MBA, PHD, RD, LDN
• Freedom House Recovery Center
• Ila Gertrude Harris
• Hashem Healthcare Services, Inc.
• Patricia L Hill
• L&W Helping Hands
• Lobo Workplace Solutions, Inc.

• Adult Care Home Facility in Rougemont, NC
• Providers in Rougemont, 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 28, 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.