Organization Active NPI

Carebridge Assisted Living

  • Assisted Living Facility
  • New Bern, NC
National Provider Identifier
1396805289
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL025007 Issued in NC
Legal business name
CAREBRIDGE ASSISTED LIVING
Practice address
2915 Brunswick Ave
New Bern, NC 28562-2601
Phone
(252) 638-4680
Fax
(252) 634-9336
NPI assigned
Dec 11, 2006
Last updated
Sep 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL025007 NC Primary

Addresses

Primary practice location

2915 Brunswick Ave
New Bern, NC 28562-2601

Mailing address

30 Depot St W
Christiansburg, VA 24073-2930
Phone (540) 394-2200

Other identifiers 1

IdentifierTypeStateIssuer
7805179MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "1396805289",
    "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": "540-394-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 BRUNSWICK AVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622601",
            "telephone_number": "252-638-4680",
            "fax_number": "252-634-9336"
        }
    ],
    "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": "HAL025007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805179",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • 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.