NPIMap

Organization Active NPI

Stanley Total Living Center

  • Nursing Facility/Intermediate Care Facility
  • Stanley, NC
National Provider Identifier
1932383312
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH0386 Issued in NC
Legal business name
STANLEY TOTAL LIVING CENTER
Practice address
514 Old Mount Holly Rd
Stanley, NC 28164-2191
Phone
(704) 263-1986
Fax
(704) 263-8959
NPI assigned
Dec 21, 2007
Last updated
Nov 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Mrs. Jennifer Defelice, RN
Title
Administrator
Phone
(704) 263-1986

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X NH0386 NC
Nursing Facility/Intermediate Care Facility 313M00000X NH0386 NC Primary

Addresses

Primary practice location

514 Old Mount Holly Rd
Stanley, NC 28164-2191

Mailing address

514 Old Mount Holly Rd
P O Box 489
Stanley, NC 28164-2191
Phone (704) 263-1986

Other identifiers 1

IdentifierTypeStateIssuer
3406382MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Stanley Total Living Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

514 Old Mount Holly Rd
Stanley, NC 28164
Phone (704) 263-1986

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1932383312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 OLD MOUNT HOLLY RD",
            "address_2": "P O BOX 489",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "281642191",
            "telephone_number": "704-263-1986",
            "fax_number": "704-263-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 OLD MOUNT HOLLY RD",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "281642191",
            "telephone_number": "704-263-1986",
            "fax_number": "704-263-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY TOTAL LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "DEFELICE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-263-1986",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NC",
            "license": "NH0386",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406382",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanley, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.