GREENSBORO LIVING CENTER, LLC
NPI 1740465426
Custodial Care Facility - Adult Care Home in Greensboro, NC

Active since December 31, 2007
3004 DEXTER AVE, GREENSBORO, NC 27407(336) 292-1349(336) 292-1306 Get Directions Write a Review

NPPES record last updated: December 31, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Custodial Care Facility
  • Adult Care Home

About GREENSBORO LIVING CENTER, LLC

This page provides the complete NPI Profile along with additional information for Greensboro Living Center, Llc, a provider established in Greensboro, North Carolina operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1740465426 assigned on December 2007. The practitioner's primary taxonomy code is 311ZA0620X with license number HAL041061 (NC). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Kenneth R Hodges (Manager)

NPI
1740465426 Verify this NPI
Provider Name
GREENSBORO LIVING CENTER, LLC
Entity Type
Organization
Location Address
3004 DEXTER AVE GREENSBORO, NC 27407
Location Phone
(336) 292-1349
Location Fax
(336) 292-1306
Mailing Address
495 ZION HILL RD MARION, NC 28752
Mailing Phone
(828) 738-3053
Mailing Fax
(828) 738-0350
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-31-2007
Last Update Date
12-31-2007
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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.
HAL041061
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KENNETH R HODGES

Authorized Official Title
MANAGER
Authorized Official Phone
(828) 738-3053

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
HAL041061OTHER (01)NCLICENSE

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Assisted Living Facility
3004 DEXTER AVE
GREENSBORO, NC 27407
Custodial Care Facility (Adult Care Home)
3004 DEXTER AVE
GREENSBORO, NC 27407
Physical Therapist
3004 DEXTER AVE
GREENSBORO, NC 27407
Clinic/Center (Rehabilitation)
3004 DEXTER AVE
GREENSBORO, NC 27407

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740465426, enumerated as an "organization" on December 31, 2007.

The provider is located at 3004 DEXTER AVE GREENSBORO, NC 27407 and the phone number is (336) 292-1349.

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.