Roxboro Assisted Living Opco LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ROXBORO ASSISTED LIVING OPCO LLC

Practice address

5660 Durham Rd
Roxboro, NC 27574-7958

Phone

(336) 598-4697

NPI assigned

Dec 19, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Shlomo Greenstein

Title

Managing Director

Phone

(727) 697-9920

Specialties & licenses 2

Addresses

Other names 1

• Roxboro Senior Living Doing business as

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1104538396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 AVENUE J FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103838",
            "telephone_number": "727-697-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 DURHAM RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275747958",
            "telephone_number": "336-598-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXBORO ASSISTED LIVING OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "GREENSTEIN",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "727-697-9920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roxboro Senior Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roxboro Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert M Foster, MD, PA
• Tricia Lynn Robinson, COTA
• Wanda Judge Rogers
• Tracy Nelson Roller, CCC-SLP
• Row Enterprise, LLC
• Roxboro Family Medicine & Immediate
• Roxboro Family Vision, Inc
• Roxboro Internal Medicine & Pediatrics, P.a.
• Roxboro Medaccess Primary Care
• Roxboro Medical Associates, P.a.

• Adult Care Home Facility in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.