Organization Active NPI

Kyrie Health Properties 1, LLC

  • Assisted Living Facility
  • Statesville, NC
National Provider Identifier
1720264146
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL049026 Issued in NC
Legal business name
KYRIE HEALTH PROPERTIES 1, LLC
Practice address
1902 Ora Dr
Statesville, NC 28625-6343
Phone
(704) 878-6376
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Marianne Stamey
Title
President
Phone
(336) 849-4051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL049026 NC Primary

Addresses

Primary practice location

1902 Ora Dr
Statesville, NC 28625-6343

Mailing address

1725 Fred Hinshaw Rd
Yadkinville, NC 27055-7342

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1720264146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 FRED HINSHAW RD",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270557342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 ORA DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286256343",
            "telephone_number": "704-878-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYRIE HEALTH PROPERTIES 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "STAMEY",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-849-4051"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL049026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.