Ultimate Care Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ULTIMATE CARE ASSISTED LIVING FACILITY

Practice address

104 The Blvd
Eden, NC 27288-4704

Phone

(352) 219-2262

NPI assigned

Apr 18, 2019

Organization subpart

No

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

Authorized official

Name

Halicia Thompson

Title

Owner

Phone

(336) 327-2861

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1699338327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 IRVING AVE",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 THE BLVD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272884704",
            "telephone_number": "352-219-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE CARE ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "HALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-327-2861"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Eden, NC
• Providers in Eden, 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 Apr 18, 2019; 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.