Longs Rest Home for the Aged

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LONGS REST HOME FOR THE AGED

Practice address

2645 Longacre Rd
Greensboro, NC 27406-9511

Phone

(336) 855-0487

Fax

(336) 855-0487

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Fannie Long

Title

Administrator

Phone

(336) 855-0487

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679694848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 LONGACRE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069511",
            "telephone_number": "336-855-0487",
            "fax_number": "336-855-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 LONGACRE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069511",
            "telephone_number": "336-855-0487",
            "fax_number": "336-855-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGS REST HOME FOR THE AGED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "FANNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-855-0487",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lynnette Long, LCSW
• Lydia Long, LCSWA,LCAS
• Scott David Long, PA-C
• Susan Westlake Longerbone, LOC NCC CEAP MAC
• Kaori Miyata Longphre, MD
• Longs Rest Home III
• Veronica Longville, D.D.S.
• Robert W Lonon, MD
• Christopher M Lootens, M.A.
• Pura M Lopez Davila, LPCA

• Assisted Living Facility in Greensboro, NC
• Providers in Greensboro, 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 Aug 22, 2020; 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.