Country Living Retirement Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COUNTRY LIVING RETIREMENT HOME

Practice address

181 Old Mill Road
Fuquay-Varina, NC 27526-6177

Phone

(919) 552-7501

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Ruth J. Griffin

Title

Owner/Administrator

Phone

(919) 552-7501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1740474360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 OLD MILL ROAD",
            "city": "FUQUAY-VARINA",
            "state": "NC",
            "postal_code": "275266177",
            "telephone_number": "919-552-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 OLD MILL ROAD",
            "city": "FUQUAY-VARINA",
            "state": "NC",
            "postal_code": "275266177",
            "telephone_number": "919-552-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY LIVING RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "919-552-7501",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Conklin, COTA
• Marissa Lee Conniff, MS, CCC-SLP
• Jennifer Dianne Conrad
• Melissa-Rose Djinia Cook, MS, CCC-SLP
• Rebecca Copell
• County of Wake
• Courage to Change Mental Health and Wellness PLLC
• Samantha Bonnie Joy Crandall
• Randall Crawford
• Jean Yves Creppy

• Assisted Living Facility in Fuquay-Varina, NC
• Providers in Fuquay-Varina, 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 Aug 28, 2007; 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.