Active NPI
Paul's Loving Care, Inc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Greensboro, NC
National Provider Identifier
1326273111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- PAUL'S LOVING CARE, INC
- Practice address
- 3406 Fern PL
Greensboro, NC 27408-2808 - Phone
- (336) 790-0277
- Fax
- (336) 227-5534
- NPI assigned
- May 21, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clarissa Paul
- Title
- Admin
- Phone
- (336) 790-0277
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Assisted Living Facility (Mental Illness) | 3104A0625X | |||
| Adult Care Home Facility | 311ZA0620X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Respite Care | 385H00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
3406 Fern PL
Greensboro, NC 27408-2808
Mailing address
1114 Shaw St
Burlington, NC 27217-1545
Phone (336) 790-0277
Other practice location 1
322 Walker Ave
Graham, NC 27253-2426
Phone (336) 270-4332
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2248027 | Paul's Loving Care Inc | Certificate of waiver | Jan 10, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692662400000",
"number": "1326273111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 SHAW ST",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272171545",
"telephone_number": "336-790-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3406 FERN PL",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274082808",
"telephone_number": "336-790-0277",
"fax_number": "336-227-5534"
}
],
"practiceLocations": [
{
"address_1": "322 Walker Ave",
"address_purpose": "LOCATION",
"city": "Graham",
"state": "NC",
"postal_code": "272532426",
"country_code": "US",
"telephone_number": "336-270-4332",
"fax_number": "336-270-4332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PAUL'S LOVING CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-21",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A",
"authorized_official_last_name": "PAUL",
"authorized_official_first_name": "CLARISSA",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "336-790-0277"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.