Adorable Senior Living, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL-068-034 Issued in NC

Legal business name

ADORABLE SENIOR LIVING, INC

Practice address

1801 Saint Albans Dr Ste G
Raleigh, NC 27609-6286

Phone

(919) 606-2013

Fax

(919) 876-4949

NPI assigned

Nov 18, 2016

Organization subpart

No

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

Authorized official

Name

Reginald Chinedu Ogbonna

Title

Cfo Treasurer

Phone

(919) 732-4201

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1780127050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W QUEEN ST",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782040",
            "telephone_number": "919-606-2013",
            "fax_number": "919-876-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SAINT ALBANS DR STE G",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096286",
            "telephone_number": "919-606-2013",
            "fax_number": "919-876-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADORABLE SENIOR LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "OGBONNA",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "CHINEDU",
        "authorized_official_title_or_position": "CFO TREASURER",
        "authorized_official_telephone_number": "919-732-4201"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-068-034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Raleigh, NC
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• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.