Green-Bullock Assisted Living Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREEN-BULLOCK ASSISTED LIVING CENTER

Practice address

1000 Healthcare Center Rd.
Henderson, NC 27536-1498

Phone

(252) 492-0001

Fax

(252) 492-9284

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Delores Cameron

Title

Administrator

Phone

(252) 492-0001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659409613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HEALTHCARE CENTER RD.",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275361498",
            "telephone_number": "252-492-0001",
            "fax_number": "252-492-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEALTHCARE CENTER RD.",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275361498",
            "telephone_number": "252-492-0001",
            "fax_number": "252-492-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN-BULLOCK ASSISTED LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-492-0001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Gray-Terry, MSW, LCSW
• Brandon S Gray, COHC
• Lara Royster Gray, AU.D.
• Green & Co. Wellness Collective, PLLC
• Green Rural Redevelopment Organization
• Shaneicia D Green, LCSW
• Tyree Jonta Green, LCSWA
• Dana Stewardson Greenway, LPC
• Lynne Byerly Griffin, L.C.S.W.
• Growth Recovery Opportunity & Wellness

• Assisted Living Facility in Henderson, NC
• Providers in Henderson, 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 Aug 22, 2020; 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.