NPIMap

Organization Active NPI

Senior Management Inc

  • Assisted Living Facility
  • Wilmington, NC
National Provider Identifier
1710129655
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SENIOR MANAGEMENT INC
Practice address
210 Covil Ave
Wilmington, NC 28403-0711
Phone
(910) 762-4550
NPI assigned
Mar 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Ms. Rhonda Lockamy
Title
Business Office Manager
Phone
(910) 890-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

210 Covil Ave
Wilmington, NC 28403-0711

Mailing address

210 Covil Ave
Wilmington, NC 28403-0711
Phone (910) 762-4550

Other identifiers 1

IdentifierTypeStateIssuer
7805835MedicaidNC

Other names 1

  • Port South Village- Lorraine Other name

National Provider Directory

National Provider Directory
Tax ID family
Pinecrest Gardens8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1710129655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COVIL AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030711",
            "telephone_number": "910-762-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 COVIL AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030711",
            "telephone_number": "910-762-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "LOCKAMY",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "910-890-7400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805835",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port South Village- Lorraine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.