Active NPI
Danny Tuttle, Inc.
Doing business as Graceland Living Center
- Assisted Living Facility
- King, NC
National Provider Identifier
1669557344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2009
- 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
- Tisha Tuttle Loflin
- Title
- Co-Administrator
- Phone
- (336) 853-7670
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7801507 | Other | NC | PROVIDER NUMBER |
Other names 1
- Graceland Living Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2021898 | Graceland Living Center BLDG #1 | Certificate of waiver | Mar 22, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Danny Tuttle Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Mountain Valley Living Center
- Assisted Living Facility
- Westfield, NC
- NPI 1699970988
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.