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NORTHSTAR SENIOR LIVING NPI 1316092505


NPI Information

NPI: 1316092505
Provider Name: NORTHSTAR SENIOR LIVING

Other Name: PACIFICA WILMINGTON

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2744 SOUTH 17TH ST.
PACIFICA WILMINGTON
WILMINGTON, NC
ZIP 28412
Phone: (910) 452-1114
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NORTHSTAR SENIOR LIVING is an assisted living facility in Wilmington, 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. NORTHSTAR SENIOR LIVING NPI is 1316092505. The provider is registered as an organization entity type.
The provider Other Name Is Pacifica Wilmington.

The provider's business location address is:

2744 SOUTH 17TH ST.
PACIFICA WILMINGTON
WILMINGTON, NC
ZIP 28412
Phone: (910) 452-1114
Fax: (530) 222-6725

The provider's authorized official is Brian Robert Uhlir .
The authorized official title is Manager and has the following contact phone number (530) 242-8300.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 7/6/2011.


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 FacilityHAL 065024NORTH CAROLINAYes

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
17804165MEDICARE PIN

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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