Bladenboro Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL009019 Issued in NC

Legal business name

BLADENBORO ASSISTED LIVING

Practice address

2201 Royall Ave
Goldsboro, NC 27534-7409

Phone

(919) 735-7684

Fax

(919) 735-8552

NPI assigned

Sep 27, 2007

Last updated

Sep 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ann Day, CEO

Title

Administrator

Phone

(910) 863-3922

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1538356175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 E BLADEN STREET",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283200669",
            "fax_number": "910-863-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 ROYALL AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347409",
            "telephone_number": "919-735-7684",
            "fax_number": "919-735-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLADENBORO ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-863-3922",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL009019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Goldsboro, NC
• Providers in Goldsboro, 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 27, 2007; 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.