GOLDEN COMMUNITY ASSISTED LIVING LLC (NPI# 1700075991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700075991 |
| Entity Type | Organization |
| Organization Name | GOLDEN COMMUNITY ASSISTED LIVING LLC |
| Other Organization Name | HAVEN N HILLS |
| Practice Address |
2391 Nc Highway 226 Bostic NC 28018-7661 |
| Mailing Address |
Po Box 1217 Marion NC 28752-1217 |
| Practice Telephone | 8282452998 |
| Practice Fax Number | 8282452424 |
| Mailing Telephone | 8282452998 |
| Mailing Fax Number | 8282452424 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2008-07-23 |
| Authorized Official Name | MR. DAVID CABLE (ADMINISTRATOR) |
| Authorized Official Telephone | 8282452998 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Haven N Hills | Former Legal Business Name - Organization |
| Street Address |
2391 NC HIGHWAY 226 |
| City | BOSTIC |
| State | NC |
| Zip Code | 28018-7661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720225709 | Havennhills | Custodial Care Facility | 2391 Nc Highway 226, Bostic, NC 28018-7661 | 2009-01-13 |
| 1326220948 | Golden Community Assisted Living | Assisted Living Facility | 2391 Nc Highway 226, Bostic, NC 28018-7661 | 2007-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912229758 | Rutherford County Life Saving & First Aid Crew, Inc | Ambulance | 378 Us Hwy 74, Bostic, NC 28018 | 2010-02-22 |
| 1790842425 | Haven-n-hills Living Center | Assisted Living Facility | 2391 North Carolina Highway 226, Bostic, NC 28018 | 2007-01-02 |
| 1104198639 | Erica Marie O'shall | Occupational Therapy Assistant | 503 South Mountain Rd, Bostic, NC 28018-0577 | 2012-01-30 |
| 1811341985 | Mona Amanda Ray | Registered Nurse | 801 Jonestown Rd, Bostic, NC 28018-7613 | 2016-04-14 |
| 1184057184 | Healthstat On-site Clinic/milliken Golden Valley | Preventive Medicine | 2080 Nc Highway 226, Bostic, NC 28018-7659 | 2013-08-13 |
| 1194118182 | Kristen Downs | Day Training/Habilitation Specialist | 170 Timberlake Rd, Bostic, NC 28018-7807 | 2015-03-15 |
| 1255768503 | Suzanne N Ledford | Counselor | 548 Big Rock Rd, Bostic, NC 28018-7809 | 2013-10-01 |
| 1275508970 | Fair Haven Home, Inc. | Custodial Care Facility | 149 Fairhaven Dr, Bostic, NC 28018-8759 | 2006-02-17 |
| 1487074399 | Travis Watson Prevette | Occupational Therapist | 149 Fairhaven Dr, Bostic, NC 28018-8759 | 2014-04-17 |
| 1922543867 | Alysse Michelle Smith | Specialist/Technologist | 1490 Bostic Sunshine Hwy, Bostic, NC 28018-9527 | 2017-01-02 |
| Find all providers in zip 28018 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275508970 | Fair Haven Home, Inc. | Custodial Care Facility | 149 Fairhaven Dr, Bostic, NC 28018-8759 | 2006-02-17 |
| 1720225709 | Havennhills | Custodial Care Facility | 2391 Nc Highway 226, Bostic, NC 28018-7661 | 2009-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.