Organization Active NPI

Clinton Health Holdings LLC

Doing business as Clinton House

  • Assisted Living Facility
  • Clinton, NC
National Provider Identifier
1811260771
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL 082 018 Issued in NC
Legal business name
CLINTON HEALTH HOLDINGS LLC
Doing business as
Clinton House
Practice address
205 Martha LN
Clinton, NC 28328-9639
Phone
(910) 818-6768
NPI assigned
Feb 22, 2012
Last updated
Feb 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Mr. Marion G Lockamy Jr.
Title
Manager
Phone
(910) 814-1223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL 082 018 NC Primary

Addresses

Primary practice location

205 Martha LN
Clinton, NC 28328-9639

Mailing address

2289 Keith Hills Rd
Lillington, NC 27546-7692
Phone (910) 814-1223

Other names 1

  • Clinton House Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1811260771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2289 KEITH HILLS RD",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275467692",
            "telephone_number": "910-814-1223",
            "fax_number": "910-514-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARTHA LN",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283289639",
            "telephone_number": "910-818-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON HEALTH HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "LOCKAMY",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "910-814-1223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL 082 018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.