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MORNINGSIDE OF RALEIGH LLC NPI 1063450682


NPI Information

NPI: 1063450682
Provider Name: MORNINGSIDE OF RALEIGH, LLC

Doing Business As: MORNINGSIDE OF RALEIGH

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

CLIA Number: 34D1036239

Address:
801 DIXIE TRL
RALEIGH, NC
ZIP 27607
Phone: (919) 828-5557
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MORNINGSIDE OF RALEIGH, LLC is an assisted living facility in Raleigh, 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. MORNINGSIDE OF RALEIGH, LLC NPI is 1063450682. The provider is registered as an organization entity type.
The provider Is Doing Business As Morningside Of Raleigh.

The provider's business location address is:

801 DIXIE TRL
RALEIGH, NC
ZIP 27607-156
Phone: (919) 828-5557
Fax: (919) 828-7252

The provider's authorized official is Bruce J Mackey .
The authorized official title is President & Chief Executive Officer and has the following contact phone number (617) 796-8214.

The CLIA number assigned to this NPI record is 34D1036239 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 6/27/2016.


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 FacilityHAL-041-052NORTH CAROLINAYes

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: 11/14/2023

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