Organization Active NPI

Goldsboro Assisted Living,LLC

  • Assisted Living Facility
  • Goldsboro, NC
National Provider Identifier
1184814600
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL096031 Issued in NC
Legal business name
GOLDSBORO ASSISTED LIVING,LLC
Practice address
2201 Royall Ave
Goldsboro, NC 27534-7409
Phone
(919) 735-7684
Fax
(919) 735-8552
NPI assigned
Jul 31, 2007
Last updated
Jul 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Ms. Ann Day
Title
Ceo
Phone
(919) 922-0124

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL096031 NC Primary
Alzheimer Center (Dementia Center) 311500000X HAL096031 NC

Addresses

Primary practice location

2201 Royall Ave
Goldsboro, NC 27534-7409

Mailing address

2201 Royall Ave
Goldsboro, NC 27534-7409
Phone (919) 735-7684

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2017222Goldsboro Assisted Living and Alzheimer's Care2201 Royall Ave, Goldsboro, NC 27534Certificate of waiverDec 6, 2026

National Provider Directory

National Provider Directory

Locations

2201 Royall Ave
Goldsboro, NC 27534
Phone (919) 735-7684

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1184814600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 ROYALL AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347409",
            "telephone_number": "919-735-7684",
            "fax_number": "919-735-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 ROYALL AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347409",
            "telephone_number": "919-735-7684",
            "fax_number": "919-735-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSBORO ASSISTED LIVING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-922-0124",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL096031",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NC",
            "license": "HAL096031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.