Organization Active NPI

Goldsboro Al LLC

  • Adult Care Home Facility
  • Goldsboro, NC
National Provider Identifier
1154123792
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
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

Updated by the provider on Mar 25, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.