Deloatchs Rest Villa II

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DELOATCHS REST VILLA II

Practice address

106 Lewistown Rd
Murfreesboro, NC 27855-9322

Phone

(252) 398-3662

Fax

(252) 398-3662

NPI assigned

Apr 4, 2007

Last updated

Oct 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shirley Deloatch

Title

Administrator

Phone

(252) 398-3662

Specialties & licenses 1

Addresses

Tax ID family

Deloatchs Rest Villa 12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Deloatchs Rest Villa 1

  • Assisted Living Facility
  • Murfreesboro, NC
  • NPI 1750402384
  NPD tax ID

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1700908381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LEWISTOWN RD",
            "city": "MURFREESBORO",
            "state": "NC",
            "postal_code": "27855",
            "telephone_number": "252-398-3662",
            "fax_number": "252-398-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LEWISTOWN RD",
            "city": "MURFREESBORO",
            "state": "NC",
            "postal_code": "278559322",
            "telephone_number": "252-398-3662",
            "fax_number": "252-398-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELOATCHS REST VILLA II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "DELOATCH",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-398-3662",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colonial Pharmacy of Murfreesboro NC Inc (Colonial Pharmacy)
• Compassionate Health Care, Inc.
• Ashley Keene Cooper, APRN
• Cultivator, Inc.
• Deloatchs Rest Villa 1
• Divine Favor Inc,
• Yvonne Lisa Eisenberg, BSN
• Julie Everett
• Evolving Hands Health Care Services
• Samantha Falk

• Assisted Living Facility in Murfreesboro, NC
• Providers in Murfreesboro, 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 Oct 24, 2012; 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.