JONAS RIDGE ADULT CARE FACILITY


Address: Jonas Ridge Rest Home 9051 Hwy 181, Jonas Ridge, NC 28641
Phone: 8287332224

JONAS RIDGE ADULT CARE FACILITY (NPI# 1801928114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801928114
Entity Type Organization
Organization Name JONAS RIDGE ADULT CARE FACILITY
Other Organization Name JONAS RIDGE REST HOME
Practice Address Jonas Ridge Rest Home 9051 Hwy 181
Jonas Ridge
NC 28641
Mailing Address 9051 Hwy181
Po Box 249
Jonas Ridge
NC 28641-0249
Practice Telephone 8287332224
Mailing Telephone 8287332224
Enumeration Date 2007-03-12
Last Update Date 2020-08-22
Authorized Official Name MRS. JENNIFER BARRIER HUDSON (ADMINISTRATOR)
Authorized Official Telephone 8287332224
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility HAL-012-003 NC Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 7801929 05

Other Provider/Organization Names

Other Name Type Code
jonas ridge rest home Doing Business As Name - Organization

Office Location

Street Address JONAS RIDGE REST HOME 9051 HWY 181
City JONAS RIDGE
State NC
Zip Code 28641

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

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Competitor

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City JONAS RIDGE
Zip Code 28641

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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