NPIMap

Organization Active NPI

Hearts of Gold II

  • Adult Care Home Facility
  • Burlington, NC
National Provider Identifier
1598195133
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-001-124 Issued in NC
Legal business name
HEARTS OF GOLD II
Practice address
207 Friendly Rd
Burlington, NC 27217-2501
Phone
(336) 358-6081
Fax
(336) 358-6081
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Mr. Anthony Moore
Title
Manager
Phone
(336) 350-0296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL-001-124 NC Primary

Addresses

Primary practice location

207 Friendly Rd
Burlington, NC 27217-2501

Mailing address

PO Box 5144
Burlington, NC 27216-5144
Phone (336) 358-6081

National Provider Directory

National Provider Directory
Tax ID family
Hearts of Gold4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1598195133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5144",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272165144",
            "telephone_number": "336-358-6081",
            "fax_number": "336-358-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FRIENDLY RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172501",
            "telephone_number": "336-358-6081",
            "fax_number": "336-358-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTS OF GOLD II",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-350-0296",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-001-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.