Organization Active NPI

CB Senior Living, LLC

Doing business as Roanoke Senior Living

  • Adult Care Home Facility
  • Roanoke Rapids, NC
National Provider Identifier
1497442073
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
CB SENIOR LIVING, LLC
Doing business as
Roanoke Senior Living
Practice address
1361 Carolina Rest Home Rd
Roanoke Rapids, NC 27870-8653
Phone
(252) 333-2909
NPI assigned
Apr 24, 2023
Last updated
Apr 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Ms. Catherine Elizabeth Armstrong
Title
Managing Member
Phone
(252) 333-2909

Specialties & licenses 1

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

Addresses

Primary practice location

1361 Carolina Rest Home Rd
Roanoke Rapids, NC 27870-8653

Mailing address

115 Ililda Dr
Hertford, NC 27944-9560
Phone (252) 333-2909

Other names 1

  • Roanoke Senior Living 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": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1497442073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ILILDA DR",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279449560",
            "telephone_number": "252-333-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 CAROLINA REST HOME RD",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278708653",
            "telephone_number": "252-333-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CB SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-22",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "252-333-2909",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roanoke Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.