Organization Active NPI

Danny Tuttle, Inc.

Doing business as Graceland Living Center

  • Assisted Living Facility
  • King, NC
National Provider Identifier
1669557344
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DANNY TUTTLE, INC.
Doing business as
Graceland Living Center
Practice address
1290 Denny Rd
King, NC 27021-8314
Phone
(336) 983-2976
Fax
(336) 983-8451
NPI assigned
Oct 25, 2006
Last updated
May 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Tisha Tuttle Loflin
Title
Co-Administrator
Phone
(336) 853-7670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1290 Denny Rd
King, NC 27021-8314

Mailing address

1025 Lamb Rd
Lexington, NC 27295-5229
Phone (336) 853-7670

Other identifiers 1

IdentifierTypeStateIssuer
7801507OtherNCPROVIDER NUMBER

Other names 1

  • Graceland Living Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2021898Graceland Living Center BLDG #11290 Denny Road, King, NC 27021Certificate of waiverMar 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Danny Tuttle Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1669557344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 LAMB RD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272955229",
            "telephone_number": "336-853-7670",
            "fax_number": "336-853-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 DENNY RD",
            "city": "KING",
            "state": "NC",
            "postal_code": "270218314",
            "telephone_number": "336-983-2976",
            "fax_number": "336-983-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNY TUTTLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "LOFLIN",
        "authorized_official_first_name": "TISHA",
        "authorized_official_middle_name": "TUTTLE",
        "authorized_official_title_or_position": "CO-ADMINISTRATOR",
        "authorized_official_telephone_number": "336-853-7670"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "7801507",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graceland Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.