Common Ground Living LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

7806157 Issued in NC

Legal business name

COMMON GROUND LIVING LLC

Practice address

1616 Riverknoll Dr
Raleigh, NC 27610-4580

Phone

(919) 696-1772

NPI assigned

Jun 22, 2018

Organization subpart

No

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

Authorized official

Name

Dana Jackson Barnes, BSNPI 1235373606

Title

Manager

Phone

(919) 696-1772

Specialties & licenses 1

Addresses

Other names 1

• common ground at riverknoll Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana Jackson Barnes, BS, QMHCP

  • Assisted Living Facility
  • Raleigh, NC
  • NPI 1235373606
  NPD (past) Authorized official

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1902391915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK AT NORTH HILLS APT 410",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-696-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 RIVERKNOLL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104580",
            "telephone_number": "919-696-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON GROUND LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-696-1772",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "7806157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "common ground at riverknoll",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.