Organization Active NPI

T & S Homeplace

  • Assisted Living Facility
  • Fayetteville, NC
National Provider Identifier
1588895288
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
MHL026661 Issued in NC
Legal business name
T & S HOMEPLACE
Practice address
1808 Conover Dr
Fayetteville, NC 28304-4562
Phone
(910) 323-3797
NPI assigned
Jul 30, 2009
Last updated
Jul 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Shelbia Norris
Title
Owner
Phone
(910) 323-3797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MHL026661 NC Primary

Addresses

Primary practice location

1808 Conover Dr
Fayetteville, NC 28304-4562

Mailing address

1122 Cedar Creek Rd
Fayetteville, NC 28312-6544
Phone (910) 323-3797

Other identifiers 1

IdentifierTypeStateIssuer
7804444MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
T S Homeplace2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1588895288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 CEDAR CREEK RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283126544",
            "telephone_number": "910-323-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 CONOVER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044562",
            "telephone_number": "910-323-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T & S HOMEPLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "SHELBIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-323-3797"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "MHL026661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804444",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.