Southern Seasons Retirement Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SOUTHERN SEASONS RETIREMENT HOME

Practice address

625 Lane St
Burlington, NC 27217-2473

Phone

(336) 229-9900

Fax

(336) 229-9900

NPI assigned

Apr 19, 2007

Last updated

Jan 17, 2008By 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

Mrs. Jean Evans

Title

Owner

Phone

(336) 229-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Southern Seasons Family Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Seasons Family Care Home

  • Assisted Living Facility
  • Burlington, NC
  • NPI 1780861047
  NPD tax ID

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1679790539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LANE ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172473",
            "telephone_number": "336-229-9900",
            "fax_number": "336-229-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 LANE ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172473",
            "telephone_number": "336-229-9900",
            "fax_number": "336-229-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SEASONS RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-229-9900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801761",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Modupeola Oluremi Soremekun, LCASA
• Heath Sorkin, PA-C
• Southern Assisted Living, LLC. (Brookdale Burlington AL (NC))
• Southern Assisted Living, LLC. (Brookdale Burlington)
• Southern Seasons Family Care Home
• Krichna F Sowles, MD
• Jeffrey D Sparks, MD
• Brianna Lee Spear
• Speech and More, PLLC (Palmer Speech, Language and Learning)
• Spirit ABA NC LLC

• Assisted Living Facility in Burlington, NC
• Providers in Burlington, 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 Jan 17, 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.

Verify at the official NPI Registry.