Springhaven FCH # 2

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL092100 Issued in NC

Legal business name

SPRINGHAVEN FCH # 2

Practice address

1308 E Lane St
Raleigh, NC 27610-2322

Phone

(919) 828-3834

Fax

(919) 496-3714

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gail Dianne Titues'Jones

Title

Owner

Phone

(252) 813-8416

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1619015591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 E LANE ST",
            "address_2": "PO BOX 25718",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102322",
            "telephone_number": "919-828-3834",
            "fax_number": "919-496-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 E LANE ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102322",
            "telephone_number": "919-828-3834",
            "fax_number": "919-496-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGHAVEN FCH # 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "TITUES'JONES",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-813-8416",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL092100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spring Leaf Solution of TX, LLC
• Spring Leaf Solutions of MD, LLC
• Spring Leaf Solutions of VA, LLC
• Sarah Y Springer, LPC
• Springfield Pharmacy LLC
• Springmoor Physical Therapy Center, Inc.
• Crystal Sprinkle, NNP-BC
• Tina Eun Sprouse, MD
• Sprout and Bloom Therapy Services PC
• Kimauni Spruill

• Adult Care Home Facility in Raleigh, NC
• Providers in Raleigh, 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 Sep 1, 2011; 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.