Healthcare Provider Details

I. General information

NPI: 1891827960
Provider Name (Legal Business Name): HARRINGTON ASSISTED LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1685 CANAL RD
PEMBROKE NC
28372-9343
US

IV. Provider business mailing address

1685 CANAL RD
PEMBROKE NC
28372-9343
US

V. Phone/Fax

Practice location:
  • Phone: 910-522-0397
  • Fax: 910-522-0453
Mailing address:
  • Phone: 910-522-0397
  • Fax: 910-522-0453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberFCL-078-058
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberFCL-078-059
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberFCL-078-057
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberFCL-078-061
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberFCL-078-049
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberFCL-078-026
License Number StateNC
# 7
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberFCL-078-050
License Number StateNC
# 8
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License NumberFCL-078-027
License Number StateNC
# 9
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License NumberFCL-078-056
License Number StateNC

VIII. Authorized Official

Name: ALFREIDA BROOKS
Title or Position: ADMINISTRATOR
Credential:
Phone: 910-522-0397