Active NPI
Goldsboro Al LLC
- Adult Care Home Facility
- Goldsboro, NC
National Provider Identifier
1154123792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- GOLDSBORO AL LLC
- Practice address
- 901 W New Hope Rd
Goldsboro, NC 27534-9426 - Phone
- (984) 331-5680
- NPI assigned
- Mar 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennilee M Richardson
- Title
- Cfo
- Phone
- (919) 621-2093
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
901 W New Hope Rd
Goldsboro, NC 27534-9426
Mailing address
5430 Wade Park Blvd Ste 310
Raleigh, NC 27607-4191
Phone (919) 621-2093
Other names 1
- Eagle's Pointe
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1154123792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5430 WADE PARK BLVD STE 310",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276074191",
"telephone_number": "919-621-2093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W NEW HOPE RD",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349426",
"telephone_number": "984-331-5680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDSBORO AL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-25",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "JENNILEE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "919-621-2093"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eagle's Pointe",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.