Organization Active NPI

Cambridge Hills Assisted Living Inc

  • Assisted Living Facility
  • Roxboro, NC
National Provider Identifier
1649390287
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-073-003 Issued in NC
Legal business name
CAMBRIDGE HILLS ASSISTED LIVING INC
Practice address
5660 Durham Rd
Roxboro, NC 27574-7958
Phone
(336) 598-4697
Fax
(336) 598-4698
NPI assigned
Mar 29, 2007
Last updated
Nov 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Mr. Kendall S Oliver
Title
Owner
Phone
(336) 598-4697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-073-003 NC Primary

Addresses

Primary practice location

5660 Durham Rd
Roxboro, NC 27574-7958

Mailing address

5660 Durham Rd
Roxboro, NC 27574-7958
Phone (336) 598-4697

Other identifiers 1

IdentifierTypeStateIssuer
7803916MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1649390287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5660 DURHAM RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275747958",
            "telephone_number": "336-598-4697",
            "fax_number": "336-598-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 DURHAM RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275747958",
            "telephone_number": "336-598-4697",
            "fax_number": "336-598-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE HILLS ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-598-4697",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-073-003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803916",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.