Red Springs Retirement Community, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RED SPRINGS RETIREMENT COMMUNITY, LLC

Practice address

1301 E 4TH Ave
Red Springs, NC 28377-1661

Phone

(910) 359-0068

NPI assigned

Apr 27, 2009

Organization subpart

No

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

Authorized official

Name

David Dean Wilson

Title

Managing Member

Phone

(336) 495-2700

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1760626303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 814",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273170814",
            "telephone_number": "336-495-2700",
            "fax_number": "336-495-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E 4TH AVE",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283771661",
            "telephone_number": "910-359-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED SPRINGS RETIREMENT COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "336-495-2700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-078-083",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806341",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primary Health Choice, Inc.
• Red Springs Drug Company
• Red Springs Family Medicine Clinic, PA
• Red Springs Health Holdings, LLC
• Red Springs Rescue Squad
• Rha Health Services NC LLC
• Rha Health Services NC, LLC
• Robeson Family Practice Associates, P.a.
• Robeson Health Care Corporation
• Robeson Health Care Corporation

• Assisted Living Facility in Red Springs, NC
• Providers in Red Springs, 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 Jun 13, 2013; 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.