RV Nursing Home, LLC
Organization Active NPI Assisted Living Facility · Rich Square, NC
NPI 1649348707 · NPPES record last updated Aug 10, 2007
Key facts
- NPI
- 1649348707
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- HAL-066-010 (NC)
- Legal business name
- RV NURSING HOME, LLC
- Practice address
- 310 North Main Street
Rich Square, NC 27869-0560 - Phone
- (252) 539-2011
- Fax
- (252) 539-2317
- NPI assigned
- Nov 30, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- RV NURSING HOME LLC
Authorized official
- Name
- Mr. James T Johnson Jr.
- Title
- Owner
- Phone
- (252) 209-6834
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- RV Nursing Home LLC
- Part of
- RV Nursing Home LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | HAL-066-010 | NC | Yes |
Addresses
Primary practice location
310 North Main Street
Rich Square, NC 27869-0560
Mailing address
310 North Main Street
P O Box 560
Rich Square, NC 27869-0560
Phone (252) 539-2011
Other names
- Rich Square Villa
Other providers in Rich Square, NC
- Rooted and Grounded, Inc
- Rural Health Group, Inc.
- RV Assisted Living, LLC
- RV Assisted Living, LLC
- RV Nursing Home, LLC
- RV Nursing Home, LLC
- Justin Shepherd
- Denise Young
All providers in Rich Square, NC · Assisted Living Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.