Organization Active NPI

Lumberton Health Care, Inc.

Doing business as The Hermitage Retirement Center

  • Adult Care Home Facility
  • Lumberton, NC
National Provider Identifier
1669579876
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HAL-078-004 Issued in NC
Legal business name
LUMBERTON HEALTH CARE, INC.
Doing business as
The Hermitage Retirement Center
Practice address
550 Bailey Rd
Lumberton, NC 28358-2424
Phone
(910) 738-7281
NPI assigned
Sep 20, 2006
Last updated
Sep 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Mr. Judy Epps Click
Title
Controller
Phone
(910) 875-4551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X HAL-078-004 NC Primary

Addresses

Primary practice location

550 Bailey Rd
Lumberton, NC 28358-2424

Mailing address

PO Box 1010
Raeford, NC 28376-1010
Phone (910) 875-4551

Other identifiers 1

IdentifierTypeStateIssuer
7801307MedicaidNC

Other names 1

  • The Hermitage Retirement Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1669579876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1010",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283761010",
            "telephone_number": "910-875-4551"
        },
        {
            "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 HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "CLICK",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "EPPS",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "910-875-4551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-078-004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801307",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hermitage Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.