The R. a. Group, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL-001-026 Issued in NC

Legal business name

THE R. A. GROUP, INC

Practice address

209 E 6TH St
Burlington, NC 27215-5730

Phone

(336) 227-5854

Fax

(336) 222-9068

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Ada Evelyn Love

Title

Administrator

Phone

(336) 227-5854

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Golden Years Assisted Living Other name

Tax ID family

Golden Years Assisted Living4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• The R. a. Group, Inc

  • Adult Care Home Facility
  • Burlington, NC
  • NPI 1144404377
  NPD tax ID
• The R. a. Group, Inc

  • Adult Care Home Facility
  • Burlington, NC
  • NPI 1154457158
  NPD tax ID
• The R. a. Group, Inc

  • Adult Care Home Facility
  • Burlington, NC
  • NPI 1265568265
  NPD tax ID

Locations

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205933967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2828",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272162828",
            "fax_number": "336-222-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E 6TH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155730",
            "telephone_number": "336-227-5854",
            "fax_number": "336-222-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE R. A. GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "EVELYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-227-5854",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-001-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803959",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Years Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adrea D Theodore, M.D., M.P.H.

• Adult Care Home Facility in Burlington, NC
• Providers in Burlington, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.