LILLINGTON OPERATIONS LLC NPI 1265785463

NPI Information

NPI: 1265785463
Provider Name: LILLINGTON OPERATIONS, LLC

Doing Business As: GREEN LEAF CARE CENTER

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

CLIA Number: 34D2016066

Address:
2041 NC 210 N
LILLINGTON, NC
ZIP 27546
Phone: (910) 893-8181
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LILLINGTON OPERATIONS, LLC is an assisted living facility in Lillington, 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. LILLINGTON OPERATIONS, LLC NPI is 1265785463. The provider is registered as an organization entity type.
The provider Is Doing Business As Green Leaf Care Center.

The provider's business location address is:

2041 NC 210 N
LILLINGTON, NC
ZIP 27546-802
Phone: (910) 893-8181
Fax: (910) 893-3612

The provider's authorized official is William I. Weisberg .
The authorized official title is President and has the following contact phone number (216) 292-5706.

The CLIA number assigned to this NPI record is 34D2016066 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2012 and was last updated on 2/14/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		HAL-043-027	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7806759	MEDICAID	NORTH 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: 11/14/2023

NPI Synchronization or Removal

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