Lumberton Retirement Community, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LUMBERTON RETIREMENT COMMUNITY, LLC

Practice address

550 Bailey Rd
Lumberton, NC 28358-2424

Phone

(910) 738-7281

NPI assigned

Feb 5, 2009

Last updated

Jun 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Dean Wilson

Title

Managing Member

Phone

(336) 495-2700

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1659510253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 814",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273170814",
            "telephone_number": "336-495-2700",
            "fax_number": "336-495-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BAILEY RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582424",
            "telephone_number": "910-738-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMBERTON RETIREMENT COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "336-495-2700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-078-084",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806432",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lumberton Radiological Associates, PA
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• Lumberton Rescue and Emergency Medical Service, Inc
• Lumberton Surgical Associates PA
• Lumberton Treatment Center LLC
• Lumberton Urology Clinic, P.a.
• Edward Stephen Lyon, CCS, CSAC, CCJP
• Bessie Pacheco Macarilay, PT

• Assisted Living Facility in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.