Southern Ave Rest Home
NPI 1083898589 · Health Service Clinic/Center · Fayetteville, NC
Southern Ave Rest Home is a Health Service Clinic/Center organization in Fayetteville, NC (NPI 1083898589).
Provider details
- NPI number
- 1083898589
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Neill Jones, Owner(910) 484-4291
- License
- FCL026012 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-12-20
- Last updated
- 2007-12-20
Frequently asked questions
- What is Southern Ave Rest Home's NPI number?
- Southern Ave Rest Home's National Provider Identifier (NPI) is 1083898589, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Ave Rest Home?
- Southern Ave Rest Home is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Ave Rest Home located?
- Southern Ave Rest Home's practice location on file with NPPES is 1124 Southern Ave, Fayetteville, NC 28306-1754.
- What is Southern Ave Rest Home's phone number?
- The practice phone number listed in the NPPES registry for Southern Ave Rest Home is (910) 286-8118.
- Who is the authorized official for Southern Ave Rest Home?
- The authorized official listed on Southern Ave Rest Home's NPPES record is Neill Jones, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Ave Rest Home's NPI active?
- Yes — Southern Ave Rest Home's NPI (1083898589) is active in the NPPES registry as of the last update on 2007-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.