COMMON GROUND LIVING LLC NPI 1902391915

NPI Information

  • NPI: 1902391915
  • Provider Name: COMMON GROUND LIVING LLC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Doing Business As: COMMON GROUND AT RIVERKNOLL
  • Address: 1616 RIVERKNOLL DR
    RALEIGH, NC
    ZIP 27610
  • Phone: (919) 696-1772

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NPI Details

COMMON GROUND LIVING LLC is an adult care home custodial care facility in Raleigh, 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. COMMON GROUND LIVING LLC NPI is 1902391915. The provider is registered as an organization entity type.
The provider Is Doing Business As Common Ground At Riverknoll.

The provider's business location address is:

1616 RIVERKNOLL DR
RALEIGH, NC
ZIP 27610-580
Phone: (919) 696-1772

The provider's authorized official is Dana Jackson Barnes .
The authorized official title is Manager and has the following contact phone number (919) 696-1772.

The enumeration date for this NPI number is 6/22/2018 and was last updated on 6/22/2018.

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
1311ZA0620XCustodial Care FacilityAdult Care Home7806157NORTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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