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SOUTHERN LIVING FOR SENIORS OF BURNSVILLE NC LLC NPI 1396232195


NPI Information

NPI: 1396232195
Provider Name: SOUTHERN LIVING FOR SENIORS OF BURNSVILLE NC LLC

Doing Business As: SOUTHERN LIVING FOR SENIORS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
270 LOVE FOX RD
BURNSVILLE, NC
ZIP 28714
Phone: (828) 682-3417
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SOUTHERN LIVING FOR SENIORS OF BURNSVILLE NC LLC is an assisted living facility in Burnsville, 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. SOUTHERN LIVING FOR SENIORS OF BURNSVILLE NC LLC NPI is 1396232195. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Living For Seniors.

The provider's business location address is:

270 LOVE FOX RD
BURNSVILLE, NC
ZIP 28714-109
Phone: (828) 682-3417

The provider's authorized official is Kenneth Simons .
The authorized official title is Managing Member and has the following contact phone number (470) 551-2006.

The enumeration date for this NPI number is 4/17/2018 and was last updated on 4/17/2018.


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
1310400000XAssisted Living FacilityYes
23104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
33104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo

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: 5/5/2024

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