NPIMap

Organization Active NPI

Alston Care Home LLC

  • Mental Illness Intermediate Care Facility
  • Greensboro, NC
National Provider Identifier
1053889626
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
Legal business name
ALSTON CARE HOME LLC
Practice address
1918 Carlton Ave
Greensboro, NC 27406-3209
Phone
(919) 986-6192
NPI assigned
Nov 12, 2018
Last updated
Nov 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Authorized official

Name
Saveon Alston
Title
Owner
Phone
(919) 986-6192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X NU Primary

Addresses

Primary practice location

1918 Carlton Ave
Greensboro, NC 27406-3209

Mailing address

115 Windermere Dr Unit 202
Durham, NC 27712-2853

Other identifiers 1

IdentifierTypeStateIssuer
1376040352MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Alston Care Home LLC3 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": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1053889626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WINDERMERE DR UNIT 202",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 CARLTON AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274063209",
            "telephone_number": "919-986-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALSTON CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "ALSTON",
        "authorized_official_first_name": "SAVEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-986-6192"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376040352",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.