Provider Type Icon

GOLDSBORO ASSISTED LIVINGLLC NPI 1184814600


NPI Information

NPI: 1184814600
Provider Name: GOLDSBORO ASSISTED LIVING,LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 34D2017222

Address:
2201 ROYALL AVE
GOLDSBORO, NC
ZIP 27534
Phone: (919) 735-7684
Get Directions

GOLDSBORO ASSISTED LIVING,LLC is an assisted living facility in Goldsboro, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GOLDSBORO ASSISTED LIVING,LLC NPI is 1184814600. The provider is registered as an organization entity type.

The provider's business location address is:

2201 ROYALL AVE
GOLDSBORO, NC
ZIP 27534-409
Phone: (919) 735-7684
Fax: (919) 735-8552

The provider's authorized official is Ann Day .
The authorized official title is Ceo and has the following contact phone number (919) 922-0124.

The CLIA number assigned to this NPI record is 34D2017222 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2007 and was last updated on 7/31/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311500000XAlzheimer Center (Dementia Center)HAL096031NORTH CAROLINANo
2310400000XAssisted Living FacilityHAL096031NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.