NPIMap

Organization Active NPI

Cardinal Care Assisted Living Village #2

  • Assisted Living Facility
  • Benson, NC
National Provider Identifier
1740415827
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-051-032 Issued in NC
Legal business name
CARDINAL CARE ASSISTED LIVING VILLAGE #2
Practice address
606 E Morris Ave
Benson, NC 27504-1445
Phone
(919) 894-2567
Fax
(919) 894-1504
NPI assigned
May 19, 2009
Last updated
May 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Mr. Andrew Jackson Wheeler Jr.
Title
Administrator
Phone
(919) 894-2567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-051-032 NC Primary

Addresses

Primary practice location

606 E Morris Ave
Benson, NC 27504-1445

Mailing address

606 E Morris Ave
Benson, NC 27504-1445
Phone (919) 894-2567

National Provider Directory

National Provider Directory
Tax ID family
Cardinal Care Assisted Living Village6 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": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1740415827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 E MORRIS AVE",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275041445",
            "telephone_number": "919-894-2567",
            "fax_number": "919-894-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E MORRIS AVE",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275041445",
            "telephone_number": "919-894-2567",
            "fax_number": "919-894-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL CARE ASSISTED LIVING VILLAGE #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-894-2567",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-051-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.