Organization Active NPI

H. Vanderwal Inc.

Doing business as Restwell Home

  • Assisted Living Facility
  • Rutherfordton, NC
National Provider Identifier
1821297821
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-801-007 Issued in NC
Legal business name
H. VANDERWAL INC.
Doing business as
Restwell Home
Practice address
401 US 221 S Hwy
Rutherfordton, NC 28139
Phone
(828) 287-4042
Fax
(828) 287-4042
NPI assigned
Jul 11, 2007
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Mr. Harry Ralph Vanderwal
Title
Administrator
Phone
(828) 287-4042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-801-007 NC Primary

Addresses

Primary practice location

401 US 221 S Hwy
Rutherfordton, NC 28139

Mailing address

PO Box 1351
Rutherfordton, NC 28139-1351
Phone (828) 287-4042

Other identifiers 1

IdentifierTypeStateIssuer
7801169MedicaidNCMEDICAID PROVIDER NUMBER

Other names 1

  • Restwell Home Doing business as

National Provider Directory

National Provider Directory

Locations

401 US 221S Hwy
Rutherfordton, NC 28139
Phone (828) 287-4042

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1821297821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1351",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281391351",
            "telephone_number": "828-287-4042",
            "fax_number": "828-287-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 US 221 S HWY",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "28139",
            "telephone_number": "828-287-4042",
            "fax_number": "828-287-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. VANDERWAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "VANDERWAL",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-287-4042",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-801-007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "7801169",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restwell Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rutherfordton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.