Organization Active NPI

Kristi'S Homes, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kinston, NC
National Provider Identifier
1861693707
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
KRISTI'S HOMES, INC.
Practice address
2691 Falling Creek Rd
Kinston, NC 28504-9130
Phone
(252) 523-7043
Fax
(252) 523-7043
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mrs. Kristi Ann Jones
Title
Residential Care Provider
Phone
(252) 560-0241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

2691 Falling Creek Rd
Kinston, NC 28504-9130

Mailing address

2691 Falling Creek Rd
Kinston, NC 28504-9130
Phone (252) 523-7043

Other identifiers 1

IdentifierTypeStateIssuer
3409508MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1861693707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 FALLING CREEK RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285049130",
            "telephone_number": "252-523-7043",
            "fax_number": "252-523-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2691 FALLING CREEK RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285049130",
            "telephone_number": "252-523-7043",
            "fax_number": "252-523-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI'S HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "RESIDENTIAL CARE PROVIDER",
        "authorized_official_telephone_number": "252-560-0241",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409508",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

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