1356776223 NPI number — BEST CARE ASSISTED LIVING INC

Table of content: (NPI 1356776223)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356776223 NPI number — BEST CARE ASSISTED LIVING INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEST CARE ASSISTED LIVING INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356776223
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/10/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
785 US HIGHWAY 70 SW
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
HICKORY
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28602-5096
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-304-8280
Provider Business Mailing Address Fax Number:
828-304-8204

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5276 OLDE SCHOOL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HICKORY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28602-8283
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-358-6531
Provider Business Practice Location Address Fax Number:
828-304-8204
Provider Enumeration Date:
09/10/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BEST
Authorized Official First Name:
DEVIN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO/ADIMISTRATOR
Authorized Official Telephone Number:
828-358-6531

Provider Taxonomy Codes

  • Taxonomy code: 310400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)