Organization Active NPI

Penley Boarding Home

  • Adult Care Home Facility
  • Asheville, NC
National Provider Identifier
1700901063
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-011-034 Issued in NC
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

Updated by the provider on Jun 23, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
78-02411MedicaidNC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.