Aversboro Assisted Living of Garner, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-092-128 Issued in NC

Legal business name

AVERSBORO ASSISTED LIVING OF GARNER, LLC

Practice address

1437 Aversboro Rd
Garner, NC 27529-4546

Phone

(919) 779-4560

Fax

(919) 779-1035

NPI assigned

Feb 16, 2007

Last updated

Aug 22, 2020By 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

Mr. Hugh Blaine Campbell III

Title

Member

Phone

(919) 779-4560

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679617278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275290829",
            "telephone_number": "919-779-4560",
            "fax_number": "919-779-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 AVERSBORO RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294546",
            "telephone_number": "919-779-4560",
            "fax_number": "919-779-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERSBORO ASSISTED LIVING OF GARNER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "BLAINE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "919-779-4560",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-092-128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Garner, NC
• Providers in Garner, 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.