Tanglewood Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-092-170 Issued in NC

Legal business name

TANGLEWOOD ASSISTED LIVING LLC

Practice address

1437 Aversboro Rd
Garner, NC 27529-4546

Phone

(919) 779-4560

Fax

(919) 779-1035

NPI assigned

Sep 12, 2011

Last updated

Sep 12, 2011By 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

Riley S Evans

Title

Managing Member

Phone

(910) 648-6887

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1710269121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "city": "CLARKTON",
            "state": "NC",
            "postal_code": "284330847",
            "telephone_number": "910-648-6887",
            "fax_number": "910-648-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 AVERSBORO RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294546",
            "telephone_number": "919-779-4560",
            "fax_number": "919-779-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGLEWOOD ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "RILEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "910-648-6887"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-092-170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C'Niah Swain, RN
• Kathryn Sweeney, PTA
• Elizabeth Margaret Swilley
• Sara Colmer Syvinski, ANP
• George A Tabb Jr., LCSWA
• William Jouette Tapp III, D.D.S.
• Sheena Tart
• Haysam Galal Tawfik, D.M.D
• Amari Taylor
• Briana Taylor

• Assisted Living Facility in Garner, NC
• Providers in Garner, 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 Sep 12, 2011; 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.