THE MEADOWS OF GOLDSBORO (NPI# 1942364591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942364591 |
| Entity Type | Organization |
| Organization Name | THE MEADOWS OF GOLDSBORO |
| Practice Address |
2201 Royall Ave Goldsboro NC 27534-7409 |
| Mailing Address |
2201 Royall Ave Goldsboro NC 27534 |
| Practice Telephone | 9197357684 |
| Practice Fax Number | 9197358552 |
| Mailing Telephone | 9197357684 |
| Mailing Fax Number | 9197358552 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RON BURRELL (CEO) |
| Authorized Official Telephone | 2525251995 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 310400000X | Assisted Living Facility | HAL096021 | NC | Nursing & Custodial Care Facilities |
| X | 311500000X | Alzheimer Center (Dementia Center) | HAL096021 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804054 | 05 |
| Street Address |
2201 ROYALL AVE |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-7409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538356175 | Bladenboro Assisted Living | Assisted Living Facility | 2201 Royall Ave, Goldsboro, NC 27534-7409 | 2007-09-27 |
| 1184814600 | Goldsboro Assisted Living,llc | Alzheimer Center (Dementia Center) | 2201 Royall Ave, Goldsboro, NC 27534-7409 | 2007-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285154716 | Melissa Hinson Weaver | Assisted Living Facility | 321 Buck Swamp Rd, Goldsboro, NC 27530-8030 | 2017-06-26 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1992138895 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1800 N Berkeley Blvd, Goldsboro, NC 27534-3368 | 2013-08-14 |
| 1295077105 | Senior Care of Goldsboro, Inc | Assisted Living Facility | 14736 Poplar St, Goldsboro, MD 21636-1307 | 2013-03-19 |
| 1194931394 | Rosewood Family Care | Assisted Living Facility | 100 Perkins St, Goldsboro, NC 27530-9335 | 2007-05-15 |
| 1689886111 | Sutton's Retirement Center | Assisted Living Facility | 4258 Hwy 13 North, Goldsboro, NC 27534 | 2007-05-04 |
| 1508998295 | Emeritus Corporation | Assisted Living Facility | 380 County Day Road, Goldsboro, NC 27530 | 2007-03-09 |
| 1538543665 | Jfc Meridian Opco Goldsboro, LLC | Assisted Living Facility | 603 Lockhaven Ct, Goldsboro, NC 27534-1770 | 2015-07-18 |
| 1154607026 | Barnes Family Care Home .inc | Assisted Living Facility | 100 Perkins St, Goldsboro, NC 27530-9335 | 2011-10-24 |
| 1285815910 | Rosewood Assisted Living | Assisted Living Facility | 100 Perkins St, Goldsboro, NC 27530-9335 | 2007-11-23 |
| Find all providers in GOLDSBORO | ||||
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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.