Active NPI
Staywell Senior Care
- PACE Provider Organization
- Asheboro, NC
National Provider Identifier
1780020347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- License
- H1533
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2071152 | Randolph Health Staywell Senior Care | Provider-performed microscopy | Jun 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Asheboro, NC
- NPI 1003614322
-
- Nurse Practitioner
- Asheboro, NC
- NPI 1366957128
-
- Hospitalist Physician
- Winston Salem, NC
- NPI 1609978154
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.