Organization Active NPI

Staywell Senior Care

  • PACE Provider Organization
  • Asheboro, NC
National Provider Identifier
1780020347
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
H1533 Issued in NC
Legal business name
STAYWELL SENIOR CARE
Practice address
809 Curry Dr
Asheboro, NC 27205-6715
Phone
(336) 628-4200
Fax
(336) 628-4235
NPI assigned
May 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
Tracey Murphy
Title
Executive Director
Phone
(336) 628-4210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X H1533 NC Primary

Addresses

Primary practice location

809 Curry Dr
Asheboro, NC 27205-6715

Mailing address

809 Curry Dr
Asheboro, NC 27205-6715
Phone (336) 628-4200

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2071152Randolph Health Staywell Senior Care809 Curry Drive, Asheboro, NC 27205Provider-performed microscopyJun 1, 2027

National Provider Directory

National Provider Directory

Locations

809 Curry Dr
Asheboro, NC 27205
Phone (336) 628-4200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1780020347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 CURRY DR",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272056715",
            "telephone_number": "336-628-4200",
            "fax_number": "336-628-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CURRY DR",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272056715",
            "telephone_number": "336-628-4200",
            "fax_number": "336-628-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAYWELL SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-628-4210"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NC",
            "license": "H1533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.