Active NPI
Lumberton Health Care, Inc.
Doing business as The Hermitage Retirement Center
- Adult Care Home Facility
- Lumberton, NC
National Provider Identifier
1669579876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- HAL-078-004
- 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, 2008
- 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
- Mr. Judy Epps Click
- Title
- Controller
- Phone
- (910) 875-4551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7801307 | Medicaid | NC |
Other names 1
- The Hermitage Retirement Center
National Provider Directory
National Provider DirectoryNPI 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
- Lumberton Emergency Physicians
- Lumberton Emergency Rescue Unit
- Lumberton Family & Urgent Care Center PLLC
- Lumberton Family Medical Center
- Lumberton Family Urgent Care Center
- Lumberton Internal Medicine Group
- Lumberton Internal Medicine Group
- Lumberton Internal Medicine Group, PA
- Lumberton Medical Clinic, P.a.
- Lumberton Obstetrics & Gynecology Associates PA
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.