Organization Active NPI

Limbionics of Goldsboro, Inc.

  • Prosthetic/Orthotic Supplier
  • Goldsboro, NC
National Provider Identifier
1386288298
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LIMBIONICS OF GOLDSBORO, INC.
Practice address
2103 Wayne Memorial Dr Ste B
Goldsboro, NC 27534-1721
Phone
(919) 330-4058
NPI assigned
Nov 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Cade Yancho
Title
President
Phone
(919) 330-4058

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2103 Wayne Memorial Dr Ste B
Goldsboro, NC 27534-1721

Mailing address

3701 Wake Forest Rd Ste 120
Raleigh, NC 27609-6832
Phone (919) 330-4058

Other names 1

  • Limbionics of Goldsboro, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200423002763 NC DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 0446680912 Practice locations: Goldsboro, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Limbionics of Goldsboro Inc2103 Wayne Memorial Dr, Goldsboro, NC 27534-1721(919) 330-4058 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Mar 3, 2020

National Provider Directory

National Provider Directory

Locations

2103 Wayne Memorial Dr
#B
Goldsboro, NC 27534
Phone (919) 330-4058

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1386288298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 WAKE FOREST RD STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096832",
            "telephone_number": "919-330-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 WAYNE MEMORIAL DR STE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341721",
            "telephone_number": "919-330-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMBIONICS OF GOLDSBORO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "YANCHO",
        "authorized_official_first_name": "CADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-330-4058"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Limbionics of Goldsboro, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Limbionics of Goldsboro, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.