IndividualActive
Calvin Johnson
NPI 1831073386 · Assisted Living Facility (Mental Illness) · Greenville, NC
Provider details
- NPI number
- 1831073386
- Entity type
- Individual
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Practice location
1008a Masters Ln
Greenville, NC 27834-8015
Phone: (252) 814-8789
Approximate (ZIP-level) locationGet directions
Mailing address
1008a Masters Ln
Greenville, NC 27834-8015
Registry dates
- Enumerated
- 2025-08-05
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.