Organization Active NPI

Sugar Mountain Assisted Living, LLC

  • Assisted Living Facility
  • Newland, NC
National Provider Identifier
1851423644
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL 006 003 Issued in NC
Legal business name
SUGAR MOUNTAIN ASSISTED LIVING, LLC
Practice address
264 Sugar Mountain 2 Rd
Newland, NC 28657-8169
Phone
(828) 733-6249
NPI assigned
Mar 9, 2007
Last updated
Apr 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Ronald B Dodson
Title
President
Phone
(336) 416-7149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL 006 003 NC Primary

Addresses

Primary practice location

264 Sugar Mountain 2 Rd
Newland, NC 28657-8169

Mailing address

PO Box 9790
Asheville, NC 28815-0790
Phone (336) 416-7149

Other identifiers 1

IdentifierTypeStateIssuer
7805268MedicaidNC

National Provider Directory

National Provider Directory

Locations

264 Sugar Mountain 2 Rd
Newland, NC 28657
Phone (828) 733-6249

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1851423644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9790",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288150790",
            "telephone_number": "336-416-7149",
            "fax_number": "336-751-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 SUGAR MOUNTAIN 2 RD",
            "city": "NEWLAND",
            "state": "NC",
            "postal_code": "286578169",
            "telephone_number": "828-733-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR MOUNTAIN ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-416-7149"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL 006 003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805268",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.