Organization Active NPI

The Village of Ashe Assisted Living Inc

  • Assisted Living Facility
  • West Jefferson, NC
National Provider Identifier
1609070812
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL005008 Issued in NC
Legal business name
THE VILLAGE OF ASHE ASSISTED LIVING INC
Practice address
151 Village Park Drive
West Jefferson, NC 28694
Phone
(336) 846-1008
Fax
(336) 846-1147
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Mr. James H Richardson Jr.
Title
President
Phone
(336) 846-1008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL005008 NC Primary

Addresses

Primary practice location

151 Village Park Drive
West Jefferson, NC 28694

Mailing address

PO Box 429
West Jefferson, NC 28694
Phone (336) 846-1008

Other identifiers 1

IdentifierTypeStateIssuer
7805568MedicaidNC

National Provider Directory

National Provider Directory

Locations

151 Village Park Dr
West Jefferson, NC 28694
Phone (336) 438-8499

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1609070812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "28694",
            "telephone_number": "336-846-1008",
            "fax_number": "336-846-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 VILLAGE PARK DRIVE",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "28694",
            "telephone_number": "336-846-1008",
            "fax_number": "336-846-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE OF ASHE ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-846-1008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL005008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805568",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jefferson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.