Organization Active NPI

The R. a. Group, Inc

  • Adult Care Home Facility
  • Burlington, NC
National Provider Identifier
1265568265
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-001-109 Issued in NC
Legal business name
THE R. A. GROUP, INC
Practice address
205 E 6TH St
Burlington, NC 27215-5730
Phone
(336) 227-5854
Fax
(336) 222-9068
NPI assigned
Feb 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Ada Evevlyn Love
Title
Administrator
Phone
(336) 227-5854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL-001-109 NC Primary

Addresses

Primary practice location

205 E 6TH St
Burlington, NC 27215-5730

Mailing address

205 E 6TH St
Burlington, NC 27215-5730
Phone (336) 227-5854

Other identifiers 1

IdentifierTypeStateIssuer
7805604MedicaidNC

Other names 1

  • GOLDEN YEARS FAMILY CARE Other name

National Provider Directory

National Provider Directory
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.

Locations

205 E 6th St
Burlington, NC 27215
Phone (336) 227-5854

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265568265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 6TH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155730",
            "telephone_number": "336-227-5854",
            "fax_number": "336-222-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 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": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "EVEVLYN",
        "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": "FCL-001-109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805604",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN YEARS FAMILY CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

  • 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.