NPIMap

Organization Active NPI

Havennhills

  • Adult Care Home Facility
  • Bostic, NC
National Provider Identifier
1720225709
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HAL081041 Issued in NC
Legal business name
HAVENNHILLS
Practice address
2391 NC Highway 226
Bostic, NC 28018-7661
Phone
(828) 245-2998
Fax
(828) 248-2424
NPI assigned
Jan 13, 2009
Last updated
Jan 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Ms. Martha H Wilson
Title
Office Manager
Phone
(828) 738-3053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X HAL081041 NC Primary

Addresses

Primary practice location

2391 NC Highway 226
Bostic, NC 28018-7661

Mailing address

495 Zion Hill Rd
Marion, NC 28752-6304
Phone (828) 738-3053

Other identifiers 1

IdentifierTypeStateIssuer
HAL081041OtherNCLICENSE

National Provider Directory

National Provider Directory
Tax ID family
America's Living Centers LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1720225709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 ZION HILL RD",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287526304",
            "telephone_number": "828-738-3053",
            "fax_number": "828-738-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 NC HIGHWAY 226",
            "city": "BOSTIC",
            "state": "NC",
            "postal_code": "280187661",
            "telephone_number": "828-245-2998",
            "fax_number": "828-248-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENNHILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-738-3053",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL081041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "HAL081041",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bostic, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.