Batangas Consulting LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH0519 Issued in NC

Legal business name

BATANGAS CONSULTING LLC

Doing business as

Bermuda Village Retirement Center

Practice address

142 Bermuda Village Dr
Bermuda Run, NC 27006-7867

Phone

(336) 998-6754

Fax

(336) 998-6771

NPI assigned

Mar 20, 2014

Last updated

Mar 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Diana T Hackett

Title

Office Manager

Phone

(336) 998-6754

Specialties & licenses 1

Addresses

Other names 1

• Bermuda Village Retirement Center Doing business as

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1841617552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 BERMUDA VILLAGE DR",
            "city": "BERMUDA RUN",
            "state": "NC",
            "postal_code": "270067867",
            "telephone_number": "336-998-6754",
            "fax_number": "336-998-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 BERMUDA VILLAGE DR",
            "city": "BERMUDA RUN",
            "state": "NC",
            "postal_code": "270067867",
            "telephone_number": "336-998-6754",
            "fax_number": "336-998-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATANGAS CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-998-6754",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bermuda Village Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Robert Alford
• Deirdre Anderson
• Amber Artley, MS, OTR/L
• Joseph Robert Baker
• Aaron Paul Beck, MD, MPH
• Makayla Tysinger Berry, FNP
• Taylor Wayne Brooks Blackwood, DO
• Sarre Boglioli, DPT
• Mark Boles, PT, DPT

• Nursing Facility/Intermediate Care Facility in Bermuda Run, NC
• Providers in Bermuda Run, NC by specialty
• Nursing Facility/Intermediate Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.