Active NPI
Penley Boarding Home
- Adult Care Home Facility
- Asheville, NC
National Provider Identifier
1700901063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- FCL-011-034
- Legal business name
- PENLEY BOARDING HOME
- Practice address
- 17 Ace Dr
Asheville, NC 28803-7100 - Phone
- (828) 298-7632
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Weldon F Penley, SR
- Title
- Co-Administrator
- Phone
- (828) 298-7632
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | FCL-011-034 | NC | Primary |
Addresses
Primary practice location
17 Ace Dr
Asheville, NC 28803-7100
Mailing address
17 Ace Dr
Asheville, NC 28803-7100
Phone (828) 298-7632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78-02411 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1700901063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 ACE DR",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288037100",
"telephone_number": "828-298-7632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 ACE DR",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288037100",
"telephone_number": "828-298-7632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENLEY BOARDING HOME",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "PENLEY",
"authorized_official_first_name": "WELDON",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CO-ADMINISTRATOR",
"authorized_official_telephone_number": "828-298-7632",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "SR"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NC",
"license": "FCL-011-034",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78-02411",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.