Organization Active NPI

Assisted Greatness

  • Assisted Living Facility
  • Clarkton, NC
National Provider Identifier
1972866804
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
05186 Issued in NC
Legal business name
ASSISTED GREATNESS
Practice address
53 South Smith St
Clarkton, NC 28433
Phone
(910) 918-1807
Fax
(910) 647-0290
NPI assigned
Jun 15, 2012
Last updated
Jun 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Ms. Matresse McAllister
Title
Executive Director
Phone
(910) 918-1807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 05186 NC Primary

Addresses

Primary practice location

53 South Smith St
Clarkton, NC 28433

Mailing address

PO Box 310
Clarkton, NC 28433-0310
Phone (910) 647-2421

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1972866804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "CLARKTON",
            "state": "NC",
            "postal_code": "284330310",
            "telephone_number": "910-647-2421",
            "fax_number": "910-647-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 SOUTH SMITH ST",
            "city": "CLARKTON",
            "state": "NC",
            "postal_code": "28433",
            "telephone_number": "910-918-1807",
            "fax_number": "910-647-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED GREATNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "MATRESSE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-918-1807",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "05186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.