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LANDMARK ASSISTED LIVING LLC NPI 1235238957


NPI Information

NPI: 1235238957
Provider Name: LANDMARK ASSISTED LIVING LLC

Doing Business As: LANDMARK ESTATES

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 34D2019590

Address:
6781 OLD US HIGHWAY 52
LEXINGTON, NC
ZIP 27295
Phone: (336) 752-2751
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LANDMARK ASSISTED LIVING LLC is an adult care home custodial care facility in Lexington, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. LANDMARK ASSISTED LIVING LLC NPI is 1235238957. The provider is registered as an organization entity type.
The provider Is Doing Business As Landmark Estates.

The provider's business location address is:

6781 OLD US HIGHWAY 52
LEXINGTON, NC
ZIP 27295-336
Phone: (336) 752-2751

The provider's authorized official is Evleyn Mccubbins .
The authorized official title is Owner/admin and has the following contact phone number (336) 752-2751.

The CLIA number assigned to this NPI record is 34D2019590 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 10/16/2023.


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
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17801233MEDICAIDNORTH CAROLINA

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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