Organization Active NPI

Spring Arbor of Raleigh

  • Assisted Living Facility
  • Raleigh, NC
National Provider Identifier
1700807989
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-092-079 Issued in NC
Legal business name
SPRING ARBOR OF RALEIGH
Practice address
1810 N New Hope Rd
Raleigh, NC 27604-8305
Phone
(919) 250-0255
Fax
(919) 250-0247
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Pamela Mayo
Title
Executive Director
Phone
(919) 250-0255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-092-079 NC Primary

Addresses

Primary practice location

1810 N New Hope Rd
Raleigh, NC 27604-8305

Mailing address

1810 N New Hope Rd
Raleigh, NC 27604-8305
Phone (919) 250-0255

Other identifiers 1

IdentifierTypeStateIssuer
7804244MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700807989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 N NEW HOPE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276048305",
            "telephone_number": "919-250-0255",
            "fax_number": "919-250-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 N NEW HOPE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276048305",
            "telephone_number": "919-250-0255",
            "fax_number": "919-250-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING ARBOR OF RALEIGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-250-0255",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-092-079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804244",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • 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.