Provider Demographics
NPI:1780127050
Name:ADORABLE SENIOR LIVING, INC
Entity type:Organization
Organization Name:ADORABLE SENIOR LIVING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:CHINEDU
Authorized Official - Last Name:OGBONNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-732-4201
Mailing Address - Street 1:401 W QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-2040
Mailing Address - Country:US
Mailing Address - Phone:919-606-2013
Mailing Address - Fax:919-876-4946
Practice Address - Street 1:1801 SAINT ALBANS DR STE G
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6286
Practice Address - Country:US
Practice Address - Phone:919-606-2013
Practice Address - Fax:919-876-4949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-18
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-068-034311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home