NPIMap

Organization Active NPI

Granville House

  • Assisted Living Facility
  • Oxford, NC
National Provider Identifier
1851449136
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL- 039-009 Issued in NC
Legal business name
GRANVILLE HOUSE
Practice address
200 Coventry Dr
Oxford, NC 27565-4005
Phone
(919) 692-1315
Fax
(919) 692-1363
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Mr. Charles Gross
Title
Executive Director
Phone
(919) 692-1315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL- 039-009 NC Primary

Addresses

Primary practice location

200 Coventry Dr
Oxford, NC 27565-4005

Mailing address

200 Coventry Drive
Oxford, NC 27565
Phone (919) 692-1315

Other identifiers 1

IdentifierTypeStateIssuer
7804060OtherNCPROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

200 Coventry Dr
Oxford, NC 27565
Phone (919) 692-1315

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1851449136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COVENTRY DRIVE",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "27565",
            "telephone_number": "919-692-1315",
            "fax_number": "919-692-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COVENTRY DR",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275654005",
            "telephone_number": "919-692-1315",
            "fax_number": "919-692-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANVILLE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-692-1315",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL- 039-009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "7804060",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

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