Fremont Rest Center

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL-096-024 Issued in NC

Legal business name

FREMONT REST CENTER

Practice address

300 South Street
Fremont, NC 27830

Phone

(919) 242-6161

Fax

(919) 242-5187

NPI assigned

Mar 6, 2007

Last updated

Jun 25, 2013By 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. Jackie Pierce

Title

Managing Partner

Phone

(336) 643-0555

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1881724342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273100878",
            "telephone_number": "336-643-0555",
            "fax_number": "336-643-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SOUTH STREET",
            "city": "FREMONT",
            "state": "NC",
            "postal_code": "27830",
            "telephone_number": "919-242-6161",
            "fax_number": "919-242-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT REST CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "336-643-0555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-096-024",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-096-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804344",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Baker
• Kim Best, MS, LCMHCA, LCASA
• Circle of Love
• Guile Jonathan Contreras
• Don Sin DMD II PA
• Goshen Medical Center Incorporated
• Brittany Nicole Harrell
• Hoang DMD & Ngo DDS and Associates PLLC
• House of Jabez LLC
• J S Stewart and Sons Inc (Fremont Pharmacy)

• Adult Care Home Facility in Fremont, NC
• Providers in Fremont, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.