Port South Village in Wilmington - Assisted Living Facility
Port South Village - NPI 1285753269
Port South Village is a Assisted Living Facility in Wilmington, North Carolina. Port South Village practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Port South Village is 1285753269. The last update date is 2020-08-22.
Port South Village's current location address is Po Box 4669, Wilmington, North Carolina. You can contact this provider via phone number 9108141223 and fax number 9108141223. The mailing address for Port South Village is Po Box 4669, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Port South Village |
|---|---|
| Address | Po Box 4669, Wilmington, North Carolina |
| Phone Number | 9108141223 |
| Fax Number | 9108141223 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Lockamy Buddy |
| Telephone Number | 9108141223 |
NPI Number Detail
| NPI Number | 1285753269 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 4669 |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284061669 |
| Phone Number | 9108141223 |
| Fax Number | 9108141223 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | HAL- 065-606 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7801157 | NC | -- | |
| 7801156 | NC | -- | |
| 7801395 | NC | -- | |
| 7801042 | NC | -- | |
| 7801043 | NC | -- | |
| 7801041 | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Port South Village by the Centers for Medicare & Medicaid Services?
The Port South Village has been issued the NPI (National Provider Identifier) 1285753269. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Port South Village is physically located?
The Port South Village is situated at the following address: Po Box 4669, Wilmington, NC 284061669.
What is the area of specialization for Port South Village, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Port South Village is Assisted Living Facility, and the corresponding taxonomy code that categorizes this area of expertise is 310400000X.
On what date was the 1285753269 assigned to Port South Village?
The Port South Village was issued its 1285753269 on 2007-03-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Port South Village, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Port South Village, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN