Active NPI
Spring Road Rest Home
- Assisted Living Facility
- Conover, NC
National Provider Identifier
1629279724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- FCL018006
- Legal business name
- SPRING ROAD REST HOME
- Practice address
- 4109 Springs Rd
Conover, NC 28613-6710 - Phone
- (828) 441-7947
- Fax
- (828) 441-9974
- NPI assigned
- May 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Simona Lonca
- Title
- Administrator
- Phone
- (828) 441-7947
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | FCL018006 | NC | Primary |
Addresses
Primary practice location
4109 Springs Rd
Conover, NC 28613-6710
Mailing address
4109 Springs Rd
Conover, NC 28613-6710
Phone (828) 441-7947
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7803907 | Medicaid | NC | |
| FCL 018006 | Other | NC DHHS UNCENSE NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1629279724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4109 SPRINGS RD",
"city": "CONOVER",
"state": "NC",
"postal_code": "286136710",
"telephone_number": "828-441-7947",
"fax_number": "828-441-9974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4109 SPRINGS RD",
"city": "CONOVER",
"state": "NC",
"postal_code": "286136710",
"telephone_number": "828-441-7947",
"fax_number": "828-441-9974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRING ROAD REST HOME",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-29",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "LONCA",
"authorized_official_first_name": "SIMONA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "828-441-7947"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": "FCL018006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7803907",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC DHHS UNCENSE NUMBER",
"identifier": "FCL 018006",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conover, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.