NPIMap

Organization Active NPI

Prime Care One LLC

  • Assisted Living Facility
  • Raleigh, NC
National Provider Identifier
1063705382
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-092-024 Issued in NC
Legal business name
PRIME CARE ONE LLC
Practice address
3101 Duraleigh Rd
Raleigh, NC 27612-4189
Phone
(919) 571-1123
NPI assigned
May 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Jeff Bassett
Title
Exec Director
Phone
(919) 571-1123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-092-024 NC Primary

Addresses

Primary practice location

3101 Duraleigh Rd
Raleigh, NC 27612-4189

Mailing address

3101 Duraleigh Rd
Raleigh, NC 27612-4189
Phone (919) 571-1123

Other names 1

  • Brighten Gardens of Raleigh Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brighten Gardens of Raleigh5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1063705382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 DURALEIGH RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124189",
            "telephone_number": "919-571-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 DURALEIGH RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124189",
            "telephone_number": "919-571-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "BASSETT",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "919-571-1123"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-092-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighten Gardens of Raleigh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.