HARRIS REST HOME NPI 1508050188

NPI Information

NPI: 1508050188
Provider Name: HARRIS REST HOME
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
1017 US HIGHWAY 158
ROUGEMONT, NC
ZIP 27572
Phone: (919) 693-7591
Get Directions

HARRIS REST HOME is an adult care home custodial care facility in Rougemont, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. HARRIS REST HOME NPI is 1508050188. The provider is registered as an organization entity type.

The provider's business location address is:

1017 US HIGHWAY 158
ROUGEMONT, NC
ZIP 27572-368
Phone: (919) 693-7591

The provider's authorized official is Ila Gertrude Harris .
The authorized official title is Administrator and has the following contact phone number (919) 693-7591.

The enumeration date for this NPI number is 8/28/2007 and was last updated on 8/28/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	311ZA0620X	Custodial Care Facility	Adult Care Home	FCL039002	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7802230	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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