NPIMap

Organization Active NPI

Rosewood Assisted Living

  • Assisted Living Facility
  • Goldsboro, NC
National Provider Identifier
1285815910
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL096034 Issued in NC
Legal business name
ROSEWOOD ASSISTED LIVING
Practice address
100 Perkins St
Goldsboro, NC 27530-9335
Phone
(919) 735-8998
Fax
(919) 735-8998
NPI assigned
Nov 23, 2007
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mr. Christopher Lee Haveri, RN
Title
Owner/Administrator
Phone
(919) 580-6280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FCL096034 NC Primary

Addresses

Primary practice location

100 Perkins St
Goldsboro, NC 27530-9335

Mailing address

101 Davelin PL
Goldsboro, NC 27530-4507
Phone (919) 580-9733

National Provider Directory

National Provider Directory
Tax ID family
Ce Assisted Living Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1285815910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DAVELIN PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304507",
            "telephone_number": "919-580-9733",
            "fax_number": "919-580-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PERKINS ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275309335",
            "telephone_number": "919-735-8998",
            "fax_number": "919-735-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "HAVERI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "919-580-6280",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL096034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.