Organization Active NPI

Ncal-Bond Properties, Inc.

  • Adult Care Home Facility
  • Goldsboro, NC
National Provider Identifier
1457416745
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HAL096019 Issued in NC
Legal business name
NCAL-BOND PROPERTIES, INC.
Practice address
603 Lockhaven CT
Goldsboro, NC 27534-1770
Phone
(919) 580-0590
Fax
(919) 580-0545
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Mr. William Benton
Title
Ceo
Phone
(336) 724-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X HAL096019 NC Primary

Addresses

Primary practice location

603 Lockhaven CT
Goldsboro, NC 27534-1770

Mailing address

1105 Brookstown Ave
Winston Salem, NC 27101-2524
Phone (336) 724-1000

Other identifiers 1

IdentifierTypeStateIssuer
7804014MedicaidNC

Other names 1

  • Somerset Court of Goldsboro Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1457416745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 BROOKSTOWN AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012524",
            "telephone_number": "336-724-1000",
            "fax_number": "336-724-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 LOCKHAVEN CT",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341770",
            "telephone_number": "919-580-0590",
            "fax_number": "919-580-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCAL-BOND PROPERTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-724-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL096019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804014",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somerset Court of Goldsboro",
            "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 22, 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.