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CARE ONE ASSISTED LIVING OF GREENVILLE LLC
NPI 1659991784
Assisted Living Facility in Greenville, NC

Active since April 18, 2020CLIA 34D2089654 · Waiver
2060 W 5TH ST, GREENVILLE, NC 27834(252) 752-3402(252) 754-2367 Get Directions Write a Review

NPPES record last updated: April 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Care One Assisted Living Of Greenville Llc NPPES

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

CARE ONE ASSISTED LIVING OF GREENVILLE LLC (NPI 1659991784), doing business as Care One Assisted Living Of Greenville, is a healthcare organization registered as an assisted living facility in Greenville, North Carolina and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Ade S Ganiyu, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1659991784
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCARE ONE ASSISTED LIVING OF GREENVILLE LLC
Location Address2060 W 5TH STGreenville, NC 27834-9160
Mailing Address2060 W 5th StGreenville, NC 27834-9160 · (252) 752-3402 · Fax (252) 754-2367
Phone(252) 752-3402
Fax(252) 754-2367
Organization SubpartNo
Authorized OfficialAde S GaniyuManaging Partner · (919) 389-5144
Enumeration DateApril 18, 2020
NPPES CertifiedApril 18, 2020
✔ NPI 1659991784 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.
2060 W 5TH ST, Greenville, NC 27834
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Other Names 1

Doing Business AsCare One Assisted Living Of Greenville

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2089654

Care One Assisted Living Of Greenville · Greenville, NC
Active · expires Sep 17, 2026
CLIA Number34D2089654
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorLeteefah K. Irvine
Laboratory Phone(252) 752-3402
Laboratory LocationCare One Assisted Living Of Greenville2060 W 5th Street, Greenville, NC 27834
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SOUTHERN LIVING ASSISTED CARE, LLC
Assisted Living Facility
2060 W 5TH ST
GREENVILLE, NC 27834
Pitt County (252) 752-3402
EMERALD COVE ASSISTED LIVING, LLC
Custodial Care Facility (Adult Care Home)
2060 W 5TH ST
GREENVILLE, NC 27834
Pitt County (252) 522-5783
THE STAFFORD GROUP, INC.
Assisted Living Facility
2060 W 5TH ST
GREENVILLE, NC 27834
Pitt County (252) 752-3402

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 Care One Assisted Living Of Greenville LLC's NPI number?

The NPI number for Care One Assisted Living Of Greenville LLC is 1659991784. It was assigned to this organization in the NPPES registry on April 18, 2020. The provider is doing business as Care One Assisted Living of Greenville.

Where is Care One Assisted Living Of Greenville LLC located?

Care One Assisted Living Of Greenville LLC is located at 2060 W 5th St, Greenville, NC 27834. The listed phone number is (252) 752-3402.

What is Care One Assisted Living Of Greenville LLC's specialty?

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

Does Care One Assisted Living Of Greenville LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2089654) is associated with this NPI, valid through September 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Care One Assisted Living Of Greenville LLC was last updated on April 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.