NPIMap

Organization Active NPI

Springview Senior Living Inc

  • Adult Care Home Facility
  • Graham, NC
National Provider Identifier
1972641199
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SPRINGVIEW SENIOR LIVING INC
Practice address
613 W Whitsett St
Graham, NC 27253-1635
Phone
(336) 222-8913
Fax
(336) 222-1935
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Beverly Dix McHugh
Title
Owner Administrator
Phone
(336) 222-8913

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL001025 NC
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

613 W Whitsett St
Graham, NC 27253-1635

Mailing address

PO Box 2175
Burlington, NC 27216-2175
Phone (336) 222-8913

Other identifiers 2

IdentifierTypeStateIssuer
7803938MedicaidNC
HAL-001-162OtherNCNC DIVISION OF HEALTH SERVICE REGULATION

Other names 2

  • Springview - Crouse Building Doing business as
  • Springview Assisted Living Crouse Other name

National Provider Directory

National Provider Directory
Tax ID family
Springview - Brock Building8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

613 W Whitsett St
Graham, NC 27253
Phone (336) 222-8913

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": "1607644800000",
    "number": "1972641199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2175",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272162175",
            "telephone_number": "336-222-8913",
            "fax_number": "336-222-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 W WHITSETT ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272531635",
            "telephone_number": "336-222-8913",
            "fax_number": "336-222-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGVIEW SENIOR LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "MCHUGH",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "DIX",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "336-222-8913"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL001025",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803938",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DIVISION OF HEALTH SERVICE REGULATION",
            "identifier": "HAL-001-162",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springview - Crouse Building",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Springview Assisted Living Crouse",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Graham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.