Organization Active NPI

Gahc3 North Raleigh NC TRS Sub, LLC

  • Adult Care Home Facility
  • Raleigh, NC
National Provider Identifier
1194376541
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GAHC3 NORTH RALEIGH NC TRS SUB, LLC
Doing business as
Cadence North Raleigh
Practice address
5219 Old Wake Forest Rd
Raleigh, NC 27609-5007
Phone
(919) 876-6316
Fax
(919) 876-6317
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Danny Prosky
Title
President
Phone
(949) 270-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

5219 Old Wake Forest Rd
Raleigh, NC 27609-5007

Mailing address

18191 Von Karman Ave Ste 300
Irvine, CA 92612-7106
Phone (949) 270-9200

Other names 1

  • Cadence North Raleigh Doing business as

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
34D2177374Cadence of North Raleigh5219 Old Wake Forrest Road, Raleigh, NC 27609Certificate of waiverJan 8, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1194376541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18191 VON KARMAN AVE STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926127106",
            "telephone_number": "949-270-9200",
            "fax_number": "949-474-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 OLD WAKE FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095007",
            "telephone_number": "919-876-6316",
            "fax_number": "919-876-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAHC3 NORTH RALEIGH NC TRS SUB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "PROSKY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-270-9200"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cadence North 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 Sep 26, 2019; 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.