Cyrus Max Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CYRUS MAX INC

Doing business as

Heritage Place II

Practice address

807 4TH St SW
Conover, NC 28613-2638

Phone

(828) 464-3715

NPI assigned

Apr 5, 2021

Last updated

Apr 5, 2021By 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

Jason NikouyehNPI 1467039370

Title

President

Phone

(336) 313-3120

Specialties & licenses 1

Addresses

Other names 1

• Heritage Place II Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Nikouyeh

  • Nursing Home Administrator
  • Conover, NC
  • NPI 1467039370
  NPD Authorized official

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1952980260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 N EMILY CT",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272657666",
            "telephone_number": "336-880-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 4TH ST SW",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286132638",
            "telephone_number": "828-464-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYRUS MAX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "NIKOUYEH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-313-3120"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Place II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Crouch
• Katherine Crowder, NP
• Crown Health Care (Conover Family Practice)
• Crown Health Care PA
• Melissa Cruz-Nava, LCMHC
• Brittany Nicole Davis, OTR/L
• Richard Kearns Davis Jr., DC
• Sheree Burgess Dixon, OTR
• DLP Central Carolina Physician Practices LLC (Fryecare Urgent Care - Conover)
• DLP Frye Medical Group LLC (FryeCare Urgent Care Conover)

• Adult Care Home Facility in Conover, NC
• Providers in Conover, 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 Apr 5, 2021; 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.