Edenton Operating Al, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EDENTON OPERATING AL, LLC

Doing business as

Edenton House

Practice address

323 Medical Arts Dr
Edenton, NC 27932-8608

Phone

(252) 482-1113

NPI assigned

Dec 3, 2009

Last updated

Dec 3, 2009By 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

Charles E Trefzger Jr.

Title

Authorized Official

Phone

(828) 261-7312

Specialties & licenses 1

Addresses

Other names 1

• Edenton House Doing business as

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1902134869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2568",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MEDICAL ARTS DR",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279328608",
            "telephone_number": "252-482-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDENTON OPERATING AL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "TREFZGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "828-261-7312",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edenton House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East Carolina Health-Chowan Inc (Chowan Hospital Home Care)
• East Carolina Health-Chowan Inc. (Anesthesia at East Carolina Health-Chowan Inc.)
• Eastern Dermatology PA
• Edenton House, LLC
• Edenton Internal Medicine PA
• Edenton Prime Time Retirement Village, LLC
• Edenton Retirement Community, LLC
• Edenton Urology Clinic
• Edenton-Chowan Schools
• Jennifer Edmondson, COTA/L

• Assisted Living Facility in Edenton, NC
• Providers in Edenton, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.