NPIMap

Organization Active NPI

Senior Management Inc

  • Assisted Living Facility
  • Wilmington, NC
National Provider Identifier
1679770317
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-065-025 Issued in NC
Legal business name
SENIOR MANAGEMENT INC
Practice address
210 Covil Ave
Wilmington, NC 28403-0711
Phone
(910) 814-1223
Fax
(910) 814-1223
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Rhonda Lockamy
Title
Secretary
Phone
(910) 814-1223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-065-025 NC Primary

Addresses

Primary practice location

210 Covil Ave
Wilmington, NC 28403-0711

Mailing address

PO Box 4669
Wilmington, NC 28406-1669
Phone (910) 814-1223

Other identifiers 6

IdentifierTypeStateIssuer
HAL-065-027MedicaidNC
HAL-065-031MedicaidNC
HAL-065-025MedicaidNC
HAL-065-026MedicaidNC
HAL-065-028MedicaidNC
HAL-065-029MedicaidNC

Other names 1

  • Port South Village Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pinecrest Gardens8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679770317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4669",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284061669",
            "telephone_number": "910-814-1223",
            "fax_number": "910-814-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 COVIL AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030711",
            "telephone_number": "910-814-1223",
            "fax_number": "910-814-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOCKAMY",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "910-814-1223",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-065-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAL-065-027",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAL-065-031",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAL-065-025",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAL-065-026",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAL-065-028",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAL-065-029",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port South Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • 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.