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KAPSON SENIOR QUARTERS CORP. NPI 1043514920


NPI Information

NPI: 1043514920
Provider Name: KAPSON SENIOR QUARTERS CORP.

Doing Business As: MERRYWOOD

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 34D2172187

Address:
3600 PARK RD
CHARLOTTE, NC
ZIP 28209
Phone: (704) 523-4949
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KAPSON SENIOR QUARTERS CORP. is an assisted living facility in Charlotte, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. KAPSON SENIOR QUARTERS CORP. NPI is 1043514920. The provider is registered as an organization entity type.
The provider Is Doing Business As Merrywood.

The provider's business location address is:

3600 PARK RD
CHARLOTTE, NC
ZIP 28209-102
Phone: (704) 523-4949

The provider's authorized official is Bryan Hudson .
The authorized official title is General Counsel and has the following contact phone number (502) 779-7683.

The CLIA number assigned to this NPI record is 34D2172187 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2011 and was last updated on 1/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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