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CARE ONE ASSISTED LIVING OF GREENVILLE LLC NPI 1659991784


NPI Information

NPI: 1659991784
Provider Name: CARE ONE ASSISTED LIVING OF GREENVILLE LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 34D2089654

Address:
2060 W 5TH ST
GREENVILLE, NC
ZIP 27834
Phone: (252) 752-3402
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CARE ONE ASSISTED LIVING OF GREENVILLE LLC is an assisted living facility in Greenville, 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. CARE ONE ASSISTED LIVING OF GREENVILLE LLC NPI is 1659991784. The provider is registered as an organization entity type.

The provider's business location address is:

2060 W 5TH ST
GREENVILLE, NC
ZIP 27834-160
Phone: (252) 752-3402
Fax: (252) 754-2367

The provider's authorized official is Ade S Ganiyu .
The authorized official title is Managing Partner and has the following contact phone number (919) 389-5144.

The CLIA number assigned to this NPI record is 34D2089654 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2020 and was last updated on 4/18/2020.


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 FacilityYes

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.