Active NPI
Ncal-Bond Properties, Inc.
- Adult Care Home Facility
- Goldsboro, NC
National Provider Identifier
1457416745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- HAL096019
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7804014 | Medicaid | NC |
Other names 1
- Somerset Court of Goldsboro
National Provider Directory
National Provider DirectoryNPI 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.