Organization Active NPI

Rubicon Business Ventures

  • In Home Supportive Care Agency
  • Goldsboro, NC
National Provider Identifier
1710691852
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jan 13, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.