Provider Demographics
NPI:1992827968
Name:HOBBS ADULT CARE INC.
Entity Type:Organization
Organization Name:HOBBS ADULT CARE INC.
Other - Org Name:HOBBS ASSISTED LIVING, INC.#2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR-MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:K
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:NA, EMT, MAA
Authorized Official - Phone:252-523-5755
Mailing Address - Street 1:2504 TOWER HILL RD
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-9013
Mailing Address - Country:US
Mailing Address - Phone:252-623-5755
Mailing Address - Fax:252-523-2909
Practice Address - Street 1:2504 TOWER HILL RD
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-9013
Practice Address - Country:US
Practice Address - Phone:252-623-5755
Practice Address - Fax:252-523-2909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-054-042310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility