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SPRING ARBOR OF RALEIGH NPI 1700807989


NPI Information

NPI: 1700807989
Provider Name: SPRING ARBOR OF RALEIGH
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 34D2021465

Address:
1810 N NEW HOPE RD
RALEIGH, NC
ZIP 27604
Phone: (919) 250-0255
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SPRING ARBOR OF RALEIGH is an assisted living facility in Raleigh, 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. SPRING ARBOR OF RALEIGH NPI is 1700807989. The provider is registered as an organization entity type.

The provider's business location address is:

1810 N NEW HOPE RD
RALEIGH, NC
ZIP 27604-305
Phone: (919) 250-0255
Fax: (919) 250-0247

The provider's authorized official is Pamela Mayo .
The authorized official title is Executive Director and has the following contact phone number (919) 250-0255.

The CLIA number assigned to this NPI record is 34D2021465 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityHAL-092-079NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17804244MEDICAIDNORTH CAROLINA

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: 11/14/2023

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.