Organization Active NPI

Spring Road Rest Home

  • Assisted Living Facility
  • Conover, NC
National Provider Identifier
1629279724
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL018006 Issued in NC
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

Updated by the provider on Jun 30, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7803907MedicaidNC
FCL 018006OtherNC DHHS UNCENSE NUMBER

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.