NPIMap

Organization Active NPI

Openview Retirement Home Incorparated

  • Assisted Living Facility
  • Lawndale, NC
National Provider Identifier
1780717843
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL023004 Issued in NC
Legal business name
OPENVIEW RETIREMENT HOME INCORPARATED
Practice address
112 Pony Barn Rd
Lawndale, NC 28090-9466
Phone
(704) 538-8026
Fax
(704) 538-3295
NPI assigned
Mar 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ruby Wellmon
Title
Administartor
Phone
(704) 538-8026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL023004 NC Primary

Addresses

Primary practice location

112 Pony Barn Rd
Lawndale, NC 28090-9466

Mailing address

112 Pony Barn Rd
Lawndale, NC 28090-9466
Phone (704) 538-8026

Other identifiers 1

IdentifierTypeStateIssuer
7803450MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780717843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PONY BARN RD",
            "city": "LAWNDALE",
            "state": "NC",
            "postal_code": "280909466",
            "telephone_number": "704-538-8026",
            "fax_number": "704-538-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PONY BARN RD",
            "city": "LAWNDALE",
            "state": "NC",
            "postal_code": "280909466",
            "telephone_number": "704-538-8026",
            "fax_number": "704-538-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPENVIEW RETIREMENT HOME INCORPARATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELLMON",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "ADMINISTARTOR",
        "authorized_official_telephone_number": "704-538-8026"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL023004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803450",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.