Organization Active NPI

Pako Investments,Inc.

Doing business as Meadowview Terrace Assisted Living

  • Adult Care Home Facility
  • Wadesboro, NC
National Provider Identifier
1619025467
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HAL-004-002 Issued in NC
Legal business name
PAKO INVESTMENTS,INC.
Doing business as
Meadowview Terrace Assisted Living
Practice address
123 Anson High School Rd
Wadesboro, NC 28170
Phone
(704) 994-9050
Fax
(704) 695-1044
NPI assigned
Jan 8, 2007
Last updated
Jan 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Harvey Leavitt
Title
Ceo
Phone
(336) 724-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X HAL-004-002 NC Primary

Addresses

Primary practice location

123 Anson High School Rd
Wadesboro, NC 28170

Mailing address

1105 Brookstown Ave
Winston Salem, NC 27101-2524
Phone (336) 724-1000

Other identifiers 1

IdentifierTypeStateIssuer
7805453MedicaidNC

Other names 1

  • MEADOWVIEW TERRACE ASSISTED LIVING Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1619025467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 BROOKSTOWN AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012524",
            "telephone_number": "336-724-1000",
            "fax_number": "336-724-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ANSON HIGH SCHOOL RD",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "28170",
            "telephone_number": "704-994-9050",
            "fax_number": "704-695-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAKO INVESTMENTS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-724-1000"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-004-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805453",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEADOWVIEW TERRACE ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.