Organization Active NPI

Ncal-Acquisition 1, Inc.

  • Assisted Living Facility
  • Shelby, NC
National Provider Identifier
1043368889
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-023-012 Issued in NC
Legal business name
NCAL-ACQUISITION 1, INC.
Practice address
950 Hardin Dr
Shelby, NC 28150-3500
Phone
(704) 480-9800
Fax
(704) 480-9803
NPI assigned
Jan 8, 2007
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
William Benton
Title
Ceo
Phone
(336) 724-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-023-012 NC Primary

Addresses

Primary practice location

950 Hardin Dr
Shelby, NC 28150-3500

Mailing address

1105 Brookstown Ave
Winston Salem, NC 27101-2524
Phone (336) 724-1000

Other identifiers 1

IdentifierTypeStateIssuer
7804010MedicaidNC

Other names 1

  • SOMERSET COURT OF SHELBY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ncal- Acquisition I Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043368889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 BROOKSTOWN AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012524",
            "telephone_number": "336-724-1000",
            "fax_number": "336-724-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 HARDIN DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503500",
            "telephone_number": "704-480-9800",
            "fax_number": "704-480-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCAL-ACQUISITION 1, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-724-1000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-023-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804010",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOMERSET COURT OF SHELBY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, 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.