Active NPI
Barrington on the Green Properties, LLC
- Assisted Living Facility
- Kings Mountain, NC
National Provider Identifier
1912045295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- HAL-023-033
- Legal business name
- BARRINGTON ON THE GREEN PROPERTIES, LLC
- Doing business as
- Summit Place of Kings Mountain
- Practice address
- 1001 Phifer Rd
Kings Mountain, NC 28086-3748 - Phone
- (704) 739-6772
- Fax
- (704) 739-6449
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Teresa Childers
- Title
- Executive Director
- Phone
- (704) 739-6772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | HAL-023-033 | NC | Primary |
Addresses
Primary practice location
1001 Phifer Rd
Kings Mountain, NC 28086-3748
Mailing address
1001 Phifer Rd
Kings Mountain, NC 28086-3748
Phone (704) 739-6772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7805663 | Medicaid | NC |
Other names 1
- Summit Place of Kings Mountain
National Provider Directory
National Provider Directory- Tax ID family
- Barrington on the Green Properties LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Mooresville, NC
- NPI 1720126022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213833600000",
"number": "1912045295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 PHIFER RD",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280863748",
"telephone_number": "704-739-6772",
"fax_number": "704-739-6449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PHIFER RD",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280863748",
"telephone_number": "704-739-6772",
"fax_number": "704-739-6449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARRINGTON ON THE GREEN PROPERTIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2008-06-19",
"status": "A",
"authorized_official_last_name": "CHILDERS",
"authorized_official_first_name": "TERESA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "704-739-6772",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": "HAL-023-033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7805663",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Summit Place of Kings Mountain",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kings Mountain, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.