Organization Active NPI

Tipton Brothers Nursing Home

  • Adult Care Home Facility
  • Spindale, NC
National Provider Identifier
1699894899
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL081020 Issued in NC
Legal business name
TIPTON BROTHERS NURSING HOME
Practice address
1005 E Main St
Spindale, NC 28160-2319
Phone
(828) 286-2040
Fax
(828) 286-2080
NPI assigned
Mar 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Betty Tipton
Title
President Administrator
Phone
(828) 859-5604

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL081017 NC
Adult Care Home Facility 311ZA0620X FCL081020 NC Primary
Adult Care Home Facility 311ZA0620X FCL081021 NC

Addresses

Primary practice location

1005 E Main St
Spindale, NC 28160-2319

Mailing address

1363 Warrior Dr
Tryon, NC 28782-4564
Phone (828) 859-5604

Other identifiers 3

IdentifierTypeStateIssuer
7801212MedicaidNC
7801331MedicaidNC
7801767MedicaidNC

National Provider Directory

National Provider Directory

Locations

517 E Main St
Spindale, NC 28160
Phone (828) 286-2040

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699894899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 WARRIOR DR",
            "city": "TRYON",
            "state": "NC",
            "postal_code": "287824564",
            "telephone_number": "828-859-5604",
            "fax_number": "828-286-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E MAIN ST",
            "city": "SPINDALE",
            "state": "NC",
            "postal_code": "281602319",
            "telephone_number": "828-286-2040",
            "fax_number": "828-286-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIPTON BROTHERS NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIPTON",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "PRESIDENT ADMINISTRATOR",
        "authorized_official_telephone_number": "828-859-5604"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL081017",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL081020",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL081021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801212",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801331",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801767",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spindale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.