Healthcare Provider Details

I. General information

NPI: 1841124138
Provider Name (Legal Business Name): A&B COMPASSIONATE SHARED HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 SYLVESTER ST
RALEIGH NC
27610-5744
US

IV. Provider business mailing address

5201 SANDY BANKS RD
RALEIGH NC
27616-8343
US

V. Phone/Fax

Practice location:
  • Phone: 919-600-2145
  • Fax:
Mailing address:
  • Phone: 919-600-2145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: AMIE SAMBA
Title or Position: CEO
Credential:
Phone: 919-600-2145