Organization Active NPI

Earl Enterprises Inc

  • Assisted Living Facility
  • Clyde, NC
National Provider Identifier
1982944328
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-044-039 Issued in NC
Legal business name
EARL ENTERPRISES INC
Practice address
39 Loving Way
Clyde, NC 28721-9471
Phone
(828) 828-4520
NPI assigned
Feb 21, 2013
Organization subpart
Yes
Parent organization
EARL ENTERPRISES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Mr. Aaron D Crawford, NHA
Title
Administrator
Phone
(828) 456-8365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-044-039 NC Primary

Addresses

Primary practice location

39 Loving Way
Clyde, NC 28721-9471

Mailing address

251 Shelton St
Waynesville, NC 28786-3362
Phone (828) 456-8365

Other identifiers 1

IdentifierTypeStateIssuer
7806684MedicaidNC

Other names 1

  • Spicewood Cottages Elms Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Earl Enterprises Inc5 organizations share this tax ID, including this one
Part of
Earl Enterprises Inc

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1982944328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 SHELTON ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863362",
            "telephone_number": "828-456-8365",
            "fax_number": "828-456-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 LOVING WAY",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287219471",
            "telephone_number": "828-828-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL ENTERPRISES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EARL ENTERPRISES INC",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-456-8365",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-044-039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806684",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spicewood Cottages Elms",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clyde, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.