Organization Active NPI

Promise Haven Adult Care LLC

  • Adult Care Home Facility
  • Greensboro, NC
National Provider Identifier
1205748290
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
PROMISE HAVEN ADULT CARE LLC
Practice address
1401 Sherrod Watlington Cir
Greensboro, NC 27406-9463
Phone
(919) 758-9317
NPI assigned
Sep 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Ms. Rebecca Joy Brunson-Nsubuga, MBA, LMFT-S, LCAS
Title
Ceo
Phone
(919) 758-9317

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1401 Sherrod Watlington Cir
Greensboro, NC 27406-9463

Mailing address

577 Chessie Sta
Apex, NC 27502-1677
Phone (919) 758-9317

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1205748290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 CHESSIE STA",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021677",
            "telephone_number": "919-758-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SHERROD WATLINGTON CIR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069463",
            "telephone_number": "919-758-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE HAVEN ADULT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "BRUNSON-NSUBUGA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-758-9317",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA, LMFT-S, LCAS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.