Juniper Springs Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-082-003 Issued in NC

Legal business name

JUNIPER SPRINGS CENTER

Practice address

153 Springs LN
Ivanhoe, NC 28447-8905

Phone

(910) 532-4670

Fax

(910) 532-2423

NPI assigned

Mar 1, 2007

Last updated

Aug 22, 2020By 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. Hannah P. McKoy

Title

Administrator

Phone

(910) 532-4670

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881722668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 SPRINGS LN",
            "city": "IVANHOE",
            "state": "NC",
            "postal_code": "284478905",
            "telephone_number": "910-532-4670",
            "fax_number": "910-532-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 SPRINGS LN",
            "city": "IVANHOE",
            "state": "NC",
            "postal_code": "284478905",
            "telephone_number": "910-532-4670",
            "fax_number": "910-532-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER SPRINGS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKOY",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-532-4670",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-082-003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802337",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.