Organization Active NPI

James Rest Home , Inc

  • Assisted Living Facility
  • New Hill, NC
National Provider Identifier
1679776363
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-092-007 Issued in NC
Legal business name
JAMES REST HOME , INC
Practice address
8420 James Rest Home Rd
New Hill, NC 27562-0070
Phone
(919) 362-8856
Fax
(919) 362-4507
NPI assigned
Jun 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Edythe James- McMillan
Title
Administrator
Phone
(919) 362-8856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-092-007 NC Primary

Addresses

Primary practice location

8420 James Rest Home Rd
New Hill, NC 27562-0070

Mailing address

PO Box 70
New Hill, NC 27562-0070

Other identifiers 1

IdentifierTypeStateIssuer
11MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679776363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "NEW HILL",
            "state": "NC",
            "postal_code": "275620070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 JAMES REST HOME RD",
            "city": "NEW HILL",
            "state": "NC",
            "postal_code": "275620070",
            "telephone_number": "919-362-8856",
            "fax_number": "919-362-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES REST HOME , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMES- MCMILLAN",
        "authorized_official_first_name": "EDYTHE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-362-8856"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-092-007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hill, 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.