Warren Hills, a Personal Care and Nursing Facility

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0360 Issued in NC

Legal business name

WARREN HILLS, A PERSONAL CARE AND NURSING FACILITY

Practice address

864 US Hwy. 158 Business West
Warrenton, NC 27589

Phone

(252) 257-2011

Fax

(252) 257-5164

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Danny M Moss

Title

Administrator

Phone

(252) 257-2011

Specialties & licenses 2

Addresses

Other identifiers 4

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1699706606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 618",
            "city": "WARRENTON",
            "state": "NC",
            "postal_code": "275890618",
            "telephone_number": "252-257-2011",
            "fax_number": "252-257-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 US HWY. 158 BUSINESS WEST",
            "city": "WARRENTON",
            "state": "NC",
            "postal_code": "27589",
            "telephone_number": "252-257-2011",
            "fax_number": "252-257-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN HILLS, A PERSONAL CARE AND NURSING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-257-2011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "NH0360",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406293",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "00974",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801103",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405240",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren Community Health Clinic Inc.
• Warren County
• Warren County
• Warren County Department of Social Services
• Warren County Schools
• Warren-Vance Community Health Center
• Warrenton Family Practice, PLLC
• Kishia Wiggins, COTA/L
• Gertie Williams
• Megan Zana Williams

• Skilled Nursing Facility in Warrenton, NC
• Providers in Warrenton, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.