Organization Active NPI

Spring Arbor Kill Devil Hills NC Tenant, LLC

  • Assisted Living Facility
  • Kill Devil Hills, NC
National Provider Identifier
1972245991
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SPRING ARBOR KILL DEVIL HILLS NC TENANT, LLC
Practice address
803 Bermuda Bay Blvd
Kill Devil Hills, NC 27948-9537
Phone
(252) 449-4455
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Amy Patterson
Title
Paralegal
Phone
(407) 250-7482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

803 Bermuda Bay Blvd
Kill Devil Hills, NC 27948-9537

Mailing address

420 S Orange Ave Ste 400
Orlando, FL 32801-4908
Phone (407) 250-7482

Other names 1

  • Spring Arbor Outer Banks Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1972245991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S ORANGE AVE STE 400",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328014908",
            "telephone_number": "407-250-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 BERMUDA BAY BLVD",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279489537",
            "telephone_number": "252-449-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING ARBOR KILL DEVIL HILLS NC TENANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PARALEGAL",
        "authorized_official_telephone_number": "407-250-7482"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Arbor Outer Banks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kill Devil Hills, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.