=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205785847
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A PLUS RESIDENTIAL CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/27/2026
-----------------------------------------------------
Last Update Date | 01/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7609 FIESTA WAY 7609 FIESTA WAY
-----------------------------------------------------
City | RALEIGH
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27615-3317
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-400-7054
-----------------------------------------------------
Fax | 919-400-7054
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7609 FIESTA WAY 7609 FIESTA WAY
-----------------------------------------------------
City | RALEIGH
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27615-3317
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-400-7054
-----------------------------------------------------
Fax | 919-400-7054
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MR. DANIEL SAFT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 760-298-8015
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 311ZA0620X
-----------------------------------------------------
Taxonomy Name | Adult Care Home Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------