Heritage Care Home of Dials

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

HERITAGE CARE HOME OF DIALS

Practice address

1685 Canal Rd
Pembroke, NC 28372-9343

Phone

(910) 522-9654

NPI assigned

Mar 14, 2024

Organization subpart

No

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

Authorized official

Name

Syed Javed

Title

Manager

Phone

(703) 679-7861

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1689433419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42020 VILLAGE CENTER PLZ STE 120-176",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "201053034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 CANAL RD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729343",
            "telephone_number": "910-522-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CARE HOME OF DIALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "JAVED",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-679-7861"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.