Reality Residential Black MTN

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-011-309 Issued in NC

Legal business name

REALITY RESIDENTIAL BLACK MTN

Practice address

1114 Montreat Rd
Black MTN, NC 28711-3232

Phone

(828) 669-8921

Fax

(828) 669-1545

NPI assigned

Jan 14, 2011

Last updated

Jan 14, 2011By 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. Wittner Eugene Wright

Title

Owner

Phone

(828) 216-7475

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1699070094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2169",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287152169",
            "telephone_number": "828-669-8921",
            "fax_number": "828-669-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 MONTREAT RD",
            "city": "BLACK MTN",
            "state": "NC",
            "postal_code": "287113232",
            "telephone_number": "828-669-8921",
            "fax_number": "828-669-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALITY RESIDENTIAL BLACK MTN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "WITTNER",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-216-7475",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-011-309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Cook, OTR/L
• Norman Page Masterson, PHARMD
• Neill Horton Payne, D.C.

• Assisted Living Facility in Black MTN, NC
• Providers in Black MTN, 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 14, 2011; 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.