Cardinal Care of Jacksonville

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CARDINAL CARE OF JACKSONVILLE

Practice address

1241 Onslow Pines Rd
Jacksonville, NC 28540-4366

Phone

(910) 347-3092

Fax

(910) 347-5940

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Cannon Jr.

Title

Owner

Phone

(252) 521-2939

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1881316834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285031595",
            "telephone_number": "252-521-2939",
            "fax_number": "252-643-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 ONSLOW PINES RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404366",
            "telephone_number": "910-347-3092",
            "fax_number": "910-347-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL CARE OF JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-521-2939",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Brooke Campbell, MSW, LCSWA
• Timothy W Campbell, LCSW
• Kimberly A Campos
• Nadine Rae Cannon, LCSW
• Colleen Joy Capelo, PTA
• Cardiovascular Center PA
• Shelby Cardoza
• Carebridge Assisted Living
• Carenet, Inc. (Baptist Hospital CareNet Counseling Centers)
• Carl R Kriebel, DMD, PA (Absolutely Dental)

• Assisted Living Facility in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.