NPIMap

Organization Active NPI

Administrative Care Services of Madison, Inc.

  • Custodial Care Facility
  • Hot Springs, NC
National Provider Identifier
1629195953
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
ADMINISTRATIVE CARE SERVICES OF MADISON, INC.
Practice address
311 N. Serpentine Ave.
Hot Springs, NC 28743
Phone
(828) 206-6399
Fax
(828) 622-9845
NPI assigned
Mar 23, 2007
Last updated
Jun 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Tonya Jolene Roberts
Title
Office Manager
Phone
(828) 206-6399

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary
Adult Care Home Facility 311ZA0620X FCH-057-008 NC
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

311 N. Serpentine Ave.
Hot Springs, NC 28743

Mailing address

P.O. Box 41
Marshall, NC 28753
Phone (828) 206-6399

Other identifiers 1

IdentifierTypeStateIssuer
7802065MedicaidNC

Other names 1

  • Hot Springs FCH #2 Other name

National Provider Directory

National Provider Directory
Tax ID family
Administrative Care Services of Madison Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1629195953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 41",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "28753",
            "telephone_number": "828-206-6399",
            "fax_number": "828-622-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N. SERPENTINE AVE.",
            "city": "HOT SPRINGS",
            "state": "NC",
            "postal_code": "28743",
            "telephone_number": "828-206-6399",
            "fax_number": "828-622-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMINISTRATIVE CARE SERVICES OF MADISON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "JOLENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-206-6399"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCH-057-008",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802065",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hot Springs FCH #2",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hot Springs FCH #2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hot Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.