Adrienne's House

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

096205 Issued in NC

Legal business name

ADRIENNE'S HOUSE

Practice address

408 Birch Dr
Goldsboro, NC 27534-7732

Phone

(252) 478-1983

Fax

(252) 478-6146

NPI assigned

Mar 3, 2008

Last updated

Mar 3, 2008By 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

Miss Adrienne Marie Glover

Title

Director

Phone

(252) 478-1983

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1609046028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275490592",
            "telephone_number": "252-478-1983",
            "fax_number": "252-478-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 BIRCH DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347732",
            "telephone_number": "252-478-1983",
            "fax_number": "252-478-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIENNE'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-478-1983",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "096205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.