Hermitage House

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL065001 Issued in NC

Legal business name

HERMITAGE HOUSE

Practice address

4724 Castle Hayne Rd
Castle Hayne, NC 28429-6403

Phone

(910) 675-2988

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Patty Ostapowicz

Title

Administrator

Phone

(910) 675-2988

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598893778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 CASTLE HAYNE RD",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284296403",
            "telephone_number": "910-675-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 CASTLE HAYNE RD",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284296403",
            "telephone_number": "910-675-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMITAGE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSTAPOWICZ",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-675-2988"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL065001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801228",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Watts Freeman, LCSW
• Synavia George, LCSW
• Deborah Louise Grigsby, MCPCD
• Alana Hellmann
• Deborah A Hendrix
• Josalin Hunter, PHD, MSW, MPH
• Journey to Healing, LLC
• KCM Ventures
• Leshonda Wallace PLLC
• April Jones Macalpine, PD.D

• Assisted Living Facility in Castle Hayne, NC
• Providers in Castle Hayne, 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 Aug 22, 2020; 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.