Organization Active NPI

King and Garner Enterprises Inc

Doing business as Roanoke Valley Assisted Living

  • Assisted Living Facility
  • Gaston, NC
National Provider Identifier
1003943267
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL066007 Issued in NC
Legal business name
KING AND GARNER ENTERPRISES INC
Doing business as
Roanoke Valley Assisted Living
Practice address
320 Broughton St
Gaston, NC 27832-9638
Phone
(252) 536-0908
Fax
(252) 536-3794
NPI assigned
Feb 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Hugh Benjamin Garner II
Title
President
Phone
(252) 536-0908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL066007 NC Primary

Addresses

Primary practice location

320 Broughton St
Gaston, NC 27832-9638

Mailing address

215 Elwyn Dr
Roanoke Rapids, NC 27870-8254
Phone (252) 536-0908

Other identifiers 1

IdentifierTypeStateIssuer
7803098MedicaidNC

Other names 1

  • ROANOKE VALLEY ASSISTED LIVING Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003943267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 ELWYN DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278708254",
            "telephone_number": "252-536-0908",
            "fax_number": "252-536-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BROUGHTON ST",
            "city": "GASTON",
            "state": "NC",
            "postal_code": "278329638",
            "telephone_number": "252-536-0908",
            "fax_number": "252-536-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING AND GARNER ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-536-0908",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL066007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803098",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROANOKE VALLEY ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.