CCJ ADULT CARE V LLC
NPI 1629940291
Assisted Living Facility in Lawndale, NC

Q: What is Ccj Adult Care V LLC's NPI number?

The NPI number for Ccj Adult Care V LLC is 1629940291. It was assigned to this organization in the NPPES registry on September 22, 2025. The provider is doing business as Golden Years Rest Home.

Q: What is Ccj Adult Care V LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since September 22, 2025

630 SUGAR HILL RD, LAWNDALE, NC 28090(980) 295-3020(704) 406-9372 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ccj Adult Care V Llc NPPES

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

CCJ ADULT CARE V LLC (NPI 1629940291), doing business as Golden Years Rest Home, is a healthcare organization registered as an assisted living facility in Lawndale, North Carolina and active in the NPI registry since September 2025. The organization lists Bernice R Hosch, Administrator/operator, as its authorized official.

NPPES Registry Identity

NPI1629940291

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCCJ ADULT CARE V LLC

Location Address630 SUGAR HILL RDLawndale, NC 28090-9493

Mailing Address100 W Main Ave Apt 302Gastonia, NC 28052-4172 · (980) 295-3020 · Fax (704) 406-9372

Phone(980) 295-3020

Fax(704) 406-9372

Organization SubpartNo

Authorized OfficialBernice R HoschAdministrator/operator · (980) 295-3020

Enumeration DateSeptember 22, 2025

Last NPPES UpdateMay 6, 2026

NPPES CertifiedMay 6, 2026

✔ NPI 1629940291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

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.

630 SUGAR HILL RD, Lawndale, NC 28090

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Other Names 1

Doing Business AsGolden Years Rest Home

Other Providers at the Same Location NPPES

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

GOLDEN YEARS REST HOME

Custodial Care Facility (Adult Care Home)

630 SUGAR HILL RD
LAWNDALE, NC 28090

Cleveland County (704) 472-0624

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 Ccj Adult Care V LLC's NPI number?

The NPI number for Ccj Adult Care V LLC is 1629940291. It was assigned to this organization in the NPPES registry on September 22, 2025. The provider is doing business as Golden Years Rest Home.

Where is Ccj Adult Care V LLC located?

Ccj Adult Care V LLC is located at 630 Sugar Hill Rd, Lawndale, NC 28090. The listed phone number is (980) 295-3020.

What is Ccj Adult Care V LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Ccj Adult Care V LLC was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.