Hayesville House, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

HAYESVILLE HOUSE, LLC

Practice address

480 Old 64 West
Hayesville, NC 28904

Phone

(828) 389-8700

NPI assigned

Jul 19, 2007

Last updated

Oct 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles E Trefzger Jr.

Title

Manager

Phone

(828) 322-5535

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hayesville House Other name

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1679773485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 8TH AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013312",
            "telephone_number": "828-322-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 OLD 64 WEST",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "28904",
            "telephone_number": "828-389-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYESVILLE HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "TREFZGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-322-5535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805875",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hayesville House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa Nicole Grubb, LCAS-A
• Robert Turner Guidry, M.A.
• Margaret Ann Harris, RPH
• Grady Michael Hayes, OTRL
• Hayesville Family Care LLC (Mountain View Family Care)
• Hayesville Operating Al, LLC (Hayesville House)
• Hayesville Pharmacy LLC
• Teresa Ann Heavner, MD
• Stacey Hellow, PHD, LCSW
• Emily Hensley, MS, CCC-SLP

• Alzheimer Center (Dementia Center) in Hayesville, NC
• Providers in Hayesville, NC by specialty
• Alzheimer Center (Dementia Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.