Carebridge Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL067005 Issued in NC

Legal business name

CAREBRIDGE ASSISTED LIVING

Practice address

34 McDaniel Dr
Jacksonville, NC 28546-6942

Phone

(910) 347-1300

Fax

(910) 347-2111

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Susan Oost

Title

Comptroller

Phone

(540) 394-2200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1386704260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DEPOT ST W",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240732930",
            "telephone_number": "540-394-2200",
            "fax_number": "540-394-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MCDANIEL DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466942",
            "telephone_number": "910-347-1300",
            "fax_number": "910-347-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREBRIDGE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "OOST",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "540-394-2200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL067005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805173",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.