NPIMap

Organization Active NPI

Rivers Edge Assisted Living

  • Assisted Living Facility
  • Windsor, NC
National Provider Identifier
1689938219
Registry record updated Jun 28, 2012
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Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL008033 Issued in NC
Legal business name
RIVERS EDGE ASSISTED LIVING
Practice address
205 W. Watson St.
Windsor, NC 27983
Phone
(252) 794-5401
Fax
(252) 794-2748
NPI assigned
Jun 28, 2012
Last updated
Jun 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Miss Dianna Renee Turner
Title
Administrator
Phone
(252) 946-4334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL008033 NC Primary

Addresses

Primary practice location

205 W. Watson St.
Windsor, NC 27983

Mailing address

P.O. Box 724
Washington, NC 27889
Phone (252) 946-4334

National Provider Directory

National Provider Directory
Tax ID family
Sovereign Healthcarellc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1689938219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 724",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "27889",
            "telephone_number": "252-946-4334",
            "fax_number": "252-946-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W. WATSON ST.",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "27983",
            "telephone_number": "252-794-5401",
            "fax_number": "252-794-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS EDGE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-946-4334",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL008033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.