SANDRA SPRUILL
NPI 1952717043
Custodial Care Facility - Adult Care Home in Goldsboro, NC

Active since July 09, 2014
904 NATIONAL DR, GOLDSBORO, NC 27534(919) 344-8846(919) 288-2995 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Custodial Care Facility
  • Adult Care Home

About SANDRA SPRUILL

This page provides the complete NPI Profile along with additional information for Sandra Spruill, a provider established in Goldsboro, North Carolina with a medical specialization in Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1952717043 assigned on July 2014. The practitioner's primary taxonomy code is 311ZA0620X with license number MHL-096-255 (NC). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1952717043 Verify this NPI
Provider Name
SANDRA SPRUILL
Gender
Female
Entity Type
Individual
Location Address
904 NATIONAL DR GOLDSBORO, NC 27534
Location Phone
(919) 344-8846
Location Fax
(919) 288-2995
Mailing Address
411 FOREST DR GOLDSBORO, NC 27534
Mailing Phone
(919) 344-8846
Is Sole Proprietor?
Yes
Enumeration Date
07-09-2014
Last Update Date
09-21-2022
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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.
MHL-096-255
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

MHL-096-254 (NC)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952717043, enumerated as an "individual" on July 09, 2014.

The provider is located at 904 NATIONAL DR GOLDSBORO, NC 27534 and the phone number is (919) 344-8846.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.