Courtyards of New Bern, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-025-024 Issued in NC

Legal business name

COURTYARDS OF NEW BERN, LLC

Practice address

2701 Amhurst Blvd
New Bern, NC 28562-4294

Phone

(252) 633-1779

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Justine M. Cabrera

Title

Executive Director

Phone

(252) 633-1779

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Courtyards of New Bern LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Courtyards of New Bern, LLC

  • Alzheimer Center (Dementia Center)
  • New Bern, NC
  • NPI 1427268937
  NPD tax ID

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245443837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 AMHURST BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 AMHURST BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624294",
            "telephone_number": "252-633-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTYARDS OF NEW BERN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-633-1779",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-025-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805634",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805631",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Kathryn Margaret Cotton, MSW, LCSWA
• Deanna Lyn Cottrell, PAC
• Anthony Deondray Courman
• Laquita Lashall Courman
• Courtyards of Magnolia, LLC
• Courtyards of New Bern, LLC
• Keitha Ann Covalla, O.D.
• Stephonie Deonne Coward-Leary, LCSWA
• Sarah Coward, PT
• Lauren Cowell, ACNP

• Assisted Living Facility in New Bern, NC
• Providers in New Bern, NC by specialty
• Assisted Living 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.