HBP Oberlin Senior Housing Opco KP6, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HBP OBERLIN SENIOR HOUSING OPCO KP6, LP

Doing business as

Bloomsbury at Hayes Barton Place

Practice address

2750 Oberlin Rd
Raleigh, NC 27608-1233

Phone

(919) 410-1919

NPI assigned

Jan 13, 2025

Organization subpart

No

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

Authorized official

Name

Joseph V Calcutt

Title

Cfo

Phone

(910) 815-3122

Specialties & licenses 2

Addresses

Other names 1

• Bloomsbury at Hayes Barton Place Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1821808619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MCNEILL PLZ",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284728602",
            "telephone_number": "910-642-0224",
            "fax_number": "910-642-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 OBERLIN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276081233",
            "telephone_number": "919-410-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HBP OBERLIN SENIOR HOUSING OPCO KP6, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "CALCUTT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-815-3122"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "endpointDescription": "Skilled Nursing Facility",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Skilled Nursing Facility",
            "address_1": "2750 Oberlin Road",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276081233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bloomsbury at Hayes Barton Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Letitia Marie Hazel, MD
• Robert Jackson Hazelgrove Jr., DDS
• Bailey Hazen
• Cynthia D Hazen, PH D LCSW SOCIAL WOR
• Braden Hazlitt, LCSW
• HCP Raleigh NC Opco, LLC
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• Bihan Caroline He, PMHNP-BC
• Grace He, LCMHCA
• Jun He, MD

• Skilled Nursing Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.