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KIMS ASSISTED LIVING LLC
NPI 1932817517
Custodial Care Facility - Adult Care Home in Pembroke, NC

Active since November 11, 2022
1241 GOINS RD, PEMBROKE, NC 28372(910) 827-7973 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2025, Nov 11, 2022 (2 updates tracked since 2022).

About Kims Assisted Living Llc NPPES

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

KIMS ASSISTED LIVING LLC (NPI 1932817517) is a healthcare organization registered as an adult care home in Pembroke, North Carolina and active in the NPI registry since November 2022. The organization lists Kimberly Dale Jacobs, Administrator, as its authorized official.

NPPES Registry Identity

NPI1932817517
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameKIMS ASSISTED LIVING LLC
Location Address1241 GOINS RDPembroke, NC 28372-8347
Mailing Address1241 Goins RdPembroke, NC 28372-8347 · (910) 827-7973
Phone(910) 827-7973
Organization SubpartNo
Authorized OfficialKimberly Dale JacobsAdministrator · (910) 536-2253
Enumeration DateNovember 11, 2022
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1932817517 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
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.
1241 GOINS RD, Pembroke, NC 28372
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Other Providers at the Same Location NPPES 2

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

WEST WINDS ASSISTED LIVING
Assisted Living Facility
1241 GOINS RD
PEMBROKE, NC 28372
Robeson County (910) 521-0853
L & S FAMILY CARE HOME
Assisted Living Facility
1241 GOINS RD
PEMBROKE, NC 28372
Robeson County (910) 521-1505

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 Kims Assisted Living LLC's NPI number?

The NPI number for Kims Assisted Living LLC is 1932817517. It was assigned to this organization in the NPPES registry on November 11, 2022.

Where is Kims Assisted Living LLC located?

Kims Assisted Living LLC is located at 1241 Goins Rd, Pembroke, NC 28372. The listed phone number is (910) 827-7973.

What is Kims Assisted Living LLC'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 Kims Assisted Living LLC was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.