Organization Active NPI

Canine Cabana

  • Assisted Living Facility
  • Nags Head, NC
National Provider Identifier
1992930705
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CANINE CABANA
Practice address
4717 S Blue Marlin Way
Nags Head, NC 27959-9678
Phone
(252) 441-7517
Fax
(252) 441-7517
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Dr. Georgeanne Hoegerman, MD
Title
Owner/Administrator
Phone
(252) 441-7517

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NC Primary
Respite Care 385H00000X NC

Addresses

Primary practice location

4717 S Blue Marlin Way
Nags Head, NC 27959-9678

Mailing address

4717 S Blue Marlin Way
Nags Head, NC 27959-9678
Phone (252) 441-7517

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1992930705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 S BLUE MARLIN WAY",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279599678",
            "telephone_number": "252-441-7517",
            "fax_number": "252-441-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 S BLUE MARLIN WAY",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279599678",
            "telephone_number": "252-441-7517",
            "fax_number": "252-441-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANINE CABANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "HOEGERMAN",
        "authorized_official_first_name": "GEORGEANNE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "252-441-7517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nags Head, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.