Organization · Type 2 NPI

Roxboro Assisted Living Opco LLC

Adult Care Home Facility · Roxboro, NC

NPI number 1104538396 Active

Practice location

5660 Durham Rd
Roxboro, NC 27574-7958

Call (336) 598-4697 Map

Mailing address

3012 Avenue J Fl 2
Brooklyn, NY 11210-3838

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	None listed
Adult Care Home Facility Primary	311ZA0620X	None listed

Adult Care Home Facility: 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.

8 other providers at this address

Other adult care home facility providers in Roxboro

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NPI record

NPI: 1104538396
Entity type: Organization (Type 2)
Issued: Dec 19, 2022
Last updated: Jan 10, 2023
Status: Active

Other names

<unavail>
Roxboro Senior Living · doing business as
Roxboro Senior Living · doing business as

Authorized official

Mr. Shlomo Greenstein
Managing Director
(727) 697-9920

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104538396

Roxboro Assisted Living Opco LLC's National Provider Identifier is 1104538396, issued on Dec 19, 2022. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Roxboro, NC. The record was last updated on Jan 10, 2023.