MORNINGSTAR ASSISTED LIVING OF SYLVA LLC NPI 1104958388

NPI Information

NPI: 1104958388
Provider Name: MORNINGSTAR ASSISTED LIVING OF SYLVA, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 34D2021596

Address:
505 RACKING CV
SYLVA, NC
ZIP 28779
Phone: (828) 586-4002
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MORNINGSTAR ASSISTED LIVING OF SYLVA, LLC is an assisted living facility in Sylva, 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. MORNINGSTAR ASSISTED LIVING OF SYLVA, LLC NPI is 1104958388. The provider is registered as an organization entity type.

The provider's business location address is:

505 RACKING CV
SYLVA, NC
ZIP 28779-028
Phone: (828) 586-4002

The provider's authorized official is Ronald B Dodson .
The authorized official title is President and has the following contact phone number (336) 416-7149.

The CLIA number assigned to this NPI record is 34D2021596 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 4/17/2008.

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 050 015	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	HAL 050 015	OTHER	NORTH CAROLINA	STATE LICENSE
2	7805758	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: 5/5/2024

NPI Synchronization or Removal

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