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ROSEBORO OPCO LLC NPI 1821512369


NPI Information

NPI: 1821512369
Provider Name: ROSEBORO OPCO, LLC

Doing Business As: THE GARDENS OF ROSEBORO

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
507 W PINEWOOD ST
ROSEBORO, NC
ZIP 28382
Phone: (910) 525-4082
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ROSEBORO OPCO, LLC is an adult care home custodial care facility in Roseboro, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. ROSEBORO OPCO, LLC NPI is 1821512369. The provider is registered as an organization entity type.
The provider Is Doing Business As The Gardens Of Roseboro.

The provider's business location address is:

507 W PINEWOOD ST
ROSEBORO, NC
ZIP 28382-259
Phone: (910) 525-4082

The provider's authorized official is Charles E Trefzger .
The authorized official title is Manager and has the following contact phone number (828) 322-5535.

The enumeration date for this NPI number is 7/26/2017 and was last updated on 11/9/2021.


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
1343900000XNon-emergency Medical Transport (VAN)No
2310400000XAssisted Living FacilityHAL082028VIRGINIANo
3311ZA0620XCustodial Care FacilityAdult Care HomeYes

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: 4/28/2024

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