Jonas Ridge Adult Care Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-012-003 Issued in NC

Legal business name

JONAS RIDGE ADULT CARE FACILITY

Doing business as

jonas ridge rest home

Practice address

Jonas Ridge Rest Home 9051 Hwy 181
Jonas Ridge, NC 28641

Phone

(828) 733-2224

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Barrier Hudson

Title

Administrator

Phone

(828) 733-2224

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• jonas ridge rest home Doing business as

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801928114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9051 HWY181",
            "address_2": "PO BOX 249",
            "city": "JONAS RIDGE",
            "state": "NC",
            "postal_code": "286410249",
            "telephone_number": "828-733-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JONAS RIDGE REST HOME 9051 HWY 181",
            "city": "JONAS RIDGE",
            "state": "NC",
            "postal_code": "28641",
            "telephone_number": "828-733-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONAS RIDGE ADULT CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BARRIER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-733-2224",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-012-003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801929",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jonas ridge rest home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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.