Graham'S Senior Living Homes Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL-016-019 Issued in NC

Legal business name

GRAHAM'S SENIOR LIVING HOMES INC

Practice address

107 Graham LN
Beaufort, NC 28516-9449

Phone

(252) 838-9204

Fax

(252) 838-9203

NPI assigned

May 1, 2014

Organization subpart

Yes

Parent organization

GRAHAM'S SENIOR LIVING HOMES INCAs reported in NPPES

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

Authorized official

Name

Mr. Roy Dean Graham

Title

Owner/Administrator

Phone

(252) 838-9204

Specialties & licenses 2

Addresses

Part of

Graham'S Senior Living Homes Inc

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1336559129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GRAHAM LN",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285169449",
            "telephone_number": "252-838-9204",
            "fax_number": "252-838-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GRAHAM LN",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285169449",
            "telephone_number": "252-838-9204",
            "fax_number": "252-838-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM'S SENIOR LIVING HOMES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAHAM'S SENIOR LIVING HOMES INC",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "252-838-9204",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-016-020",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-016-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christopher L Graham
• Angela B Gray, OD
• Richard H. Grossheim, RPH
• Nancy Hope Gurganus I, ANP
• Shannon Tracy Guthrie, RD, LDN
• Mildred Harris, ADMINISTRATOR

• All providers in Beaufort, NC
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.