1831288299 NPI number — SPRING ARBOR OF ALBEMARLE

Table of content: (NPI 1831288299)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831288299 NPI number — SPRING ARBOR OF ALBEMARLE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPRING ARBOR OF ALBEMARLE
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:
HH HUNT PROPERTY MGMT INC
Provider Other Organization Name Type Code:
5
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:
1831288299
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
315 PARK RIDGE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALBEMARLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28001-2818
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-982-8205
Provider Business Mailing Address Fax Number:
704-664-9856

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
315 PARK RIDGE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBEMARLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28001-2818
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-982-8205
Provider Business Practice Location Address Fax Number:
704-664-9856
Provider Enumeration Date:
10/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
REEMSNYDER
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE OFFICER
Authorized Official Telephone Number:
540-552-3515

Provider Taxonomy Codes

  • Taxonomy code: 310400000X , with the licence number:  HAL-084-004 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 971268 . This is a "FACILITY ID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7803719 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: HAL-084-004 . This is a "LICENSE NUMBER" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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