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GAVIN & DOWNEY HEAVENLY LIVING HOME 1
NPI 1114125622
Custodial Care Facility - Adult Care Home in Norlina, NC

Active since July 05, 2007
426 ROOKER DAIRY RD, NORLINA, NC 27563(252) 456-9996(252) 456-2027 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gavin & Downey Heavenly Living Home 1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAVIN & DOWNEY HEAVENLY LIVING HOME 1 (NPI 1114125622) is a healthcare organization registered as an adult care home in Norlina, North Carolina and active in the NPI registry since July 2007. The organization lists Ann Lois Gavin, Owner, as its authorized official.

NPPES Registry Identity

NPI1114125622
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameGAVIN & DOWNEY HEAVENLY LIVING HOME 1
Location Address426 ROOKER DAIRY RDNorlina, NC 27563-9544
Mailing Address426 Rooker Dairy RdNorlina, NC 27563-9544 · (252) 456-9996 · Fax (252) 456-2027
Phone(252) 456-9996
Fax(252) 456-2027
Organization SubpartNo
Authorized OfficialAnn Lois GavinOwner · (252) 456-9996
Enumeration DateJuly 5, 2007
Last NPPES UpdateAugust 28, 2007
✔ NPI 1114125622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NC · MHL-093-036
Definition
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.
426 ROOKER DAIRY RD, Norlina, NC 27563
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Other Identifiers 1

Medicaid7805804NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GAVIN & DOWNEY HEAVENLY LIVING HOME #3
Custodial Care Facility (Adult Care Home)
426 ROOKER DAIRY RD
NORLINA, NC 27563
Warren County (252) 456-9996

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gavin & Downey Heavenly Living Home 1's NPI number?

The NPI number for Gavin & Downey Heavenly Living Home 1 is 1114125622. It was assigned to this organization in the NPPES registry on July 5, 2007.

Where is Gavin & Downey Heavenly Living Home 1 located?

Gavin & Downey Heavenly Living Home 1 is located at 426 Rooker Dairy Rd, Norlina, NC 27563. The listed phone number is (252) 456-9996.

What is Gavin & Downey Heavenly Living Home 1's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Gavin & Downey Heavenly Living Home 1 was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.