Active NPI
Rubicon Business Ventures
- In Home Supportive Care Agency
- Goldsboro, NC
National Provider Identifier
1710691852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- RUBICON BUSINESS VENTURES
- Practice address
- 400 N William St Ste 104
Goldsboro, NC 27530-2802 - Phone
- (919) 684-6806
- NPI assigned
- Jan 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca A Wild Jackson
- Title
- Owner/ Manager
- Phone
- (919) 429-9561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
400 N William St Ste 104
Goldsboro, NC 27530-2802
Mailing address
400 N William St Ste 104
Goldsboro, NC 27530-2802
Phone (919) 684-6806
Other names 1
- Rubicon Home Health
National Provider Directory
National Provider DirectoryLocations
400 N William St
Ste 104
Goldsboro, NC 27530
Phone (919) 684-6806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673568000000",
"number": "1710691852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N WILLIAM ST STE 104",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275302802",
"telephone_number": "919-684-6806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N WILLIAM ST STE 104",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275302802",
"telephone_number": "919-684-6806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUBICON BUSINESS VENTURES",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-12",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A",
"authorized_official_last_name": "WILD JACKSON",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/ MANAGER",
"authorized_official_telephone_number": "919-429-9561"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rubicon Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.