Active NPI
Kyrie Health Properties 1, LLC
- Assisted Living Facility
- Statesville, NC
National Provider Identifier
1720264146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- HAL049026
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.