POOLE'S REST HOME
NPI 1801006788
Assisted Living Facility - Assisted Living, Mental Illness in Yanceyville, NC

Q: What is Poole's Rest Home's NPI number?

The NPI number for Poole's Rest Home is 1801006788. It was assigned to this organization in the NPPES registry on May 22, 2007.

Q: What is Poole's Rest Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Q: When was this NPI record last updated?

The NPPES record for Poole's Rest Home was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 22, 2007

201 MARY JANE BIGELOW RD, YANCEYVILLE, NC 27379(336) 694-5611 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Poole's Rest Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POOLE'S REST HOME (NPI 1801006788) is a healthcare organization registered as an assisted living, mental illness in Yanceyville, North Carolina and active in the NPI registry since May 2007. The organization lists Grace Poole, Administrator, as its authorized official.

NPPES Registry Identity

NPI1801006788

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NamePOOLE'S REST HOME

Location Address201 MARY JANE BIGELOW RDYanceyville, NC 27379-9648

Mailing AddressPo Box 1505Yanceyville, NC 27379-1505 · (336) 694-9288

Phone(336) 694-5611

Organization SubpartNo

Authorized OfficialGrace PooleAdministrator · (336) 694-9288

Enumeration DateMay 22, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1801006788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in NC · HAL-017-006

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

201 MARY JANE BIGELOW RD, Yanceyville, NC 27379

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Other Identifiers 1

Medicaid7804039NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poole's Rest Home's NPI number?

The NPI number for Poole's Rest Home is 1801006788. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Poole's Rest Home located?

Poole's Rest Home is located at 201 Mary Jane Bigelow Rd, Yanceyville, NC 27379. The listed phone number is (336) 694-5611.

What is Poole's Rest Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Poole's Rest Home was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.