SOMERSET COURT OF GOLDSBORO
NPI 1457416745
Custodial Care Facility - Adult Care Home in Goldsboro, NC
- Organization
- Custodial Care Facility
- Adult Care Home
- CLIA Number: 34D2121615
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 11-22-2026
About SOMERSET COURT OF GOLDSBORO
This page provides the complete NPI Profile along with additional information for Somerset Court Of Goldsboro, a provider established in Goldsboro, North Carolina operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1457416745 assigned on December 2006. The practitioner's primary taxonomy code is 311ZA0620X with license number HAL096019 (NC). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Somerset Court Of Goldsboro. The authorized official of this NPI record is Mr. William Benton (Ceo)
- NPI
- 1457416745 Verify this NPI
- Provider Legal Name
- NCAL-BOND PROPERTIES, INC.
- Other Organization Name
- SOMERSET COURT OF GOLDSBORO
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 603 LOCKHAVEN CT GOLDSBORO, NC 27534
- Location Phone
- (919) 580-0590
- Location Fax
- (919) 580-0545
- Mailing Address
- 1105 BROOKSTOWN AVE WINSTON SALEM, NC 27101
- Mailing Phone
- (336) 724-1000
- Mailing Fax
- (336) 724-9955
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-27-2006
- Last Update Date
- 01-22-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- License No.
- HAL096019
- License State
- NC
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7804014 | MEDICAID (05) | NC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2121615
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- November 23, 2024
- Certificate Expiration Date
- November 22, 2026
- Laboratory Director
- TONYA HOFFMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Somerset Court Of Goldsboro to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
GOLDSBORO, NC 27534
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457416745, enumerated as an "organization" on December 27, 2006.
The provider is located at 603 LOCKHAVEN CT GOLDSBORO, NC 27534 and the phone number is (919) 580-0590.
Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
