Organization Active NPI

Arbor Care Assisted Living, Inc.

  • Assisted Living Facility
  • Greensboro, NC
National Provider Identifier
1740558675
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL 041075 Issued in NC
Legal business name
ARBOR CARE ASSISTED LIVING, INC.
Practice address
510 Banner Ave
Greensboro, NC 27401-4303
Phone
(336) 273-2380
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Mr. Robert G Crummie
Title
Pres/ Ceo/ Administrator
Phone
(828) 676-9063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL 041075 NC Primary

Addresses

Primary practice location

510 Banner Ave
Greensboro, NC 27401-4303

Mailing address

PO Box 999
Mountain Home, NC 28758-0999
Phone (828) 676-9063

National Provider Directory

National Provider Directory

Locations

510 Banner Ave
Greensboro, NC 27401
Phone (336) 273-2380

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1740558675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 999",
            "city": "MOUNTAIN HOME",
            "state": "NC",
            "postal_code": "287580999",
            "telephone_number": "828-676-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BANNER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274014303",
            "telephone_number": "336-273-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR CARE ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "CRUMMIE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRES/ CEO/ ADMINISTRATOR",
        "authorized_official_telephone_number": "828-676-9063",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL 041075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.