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ASUR SUPPORTED LIVING SERVICES LLC NPI 1295309136


NPI Information

NPI: 1295309136
Provider Name: ASUR SUPPORTED LIVING SERVICES LLC
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
4328 CANIPE DR
CHARLOTTE, NC
ZIP 28269
Phone: (855) 519-2787
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ASUR SUPPORTED LIVING SERVICES LLC is a home health in Charlotte, NC. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. ASUR SUPPORTED LIVING SERVICES LLC NPI is 1295309136. The provider is registered as an organization entity type.

The provider's business location address is:

4328 CANIPE DR
CHARLOTTE, NC
ZIP 28269-198
Phone: (855) 519-2787
Fax: (614) 868-1698

The provider's authorized official is Tomika Gordon .
The authorized official title is Managing Member and has the following contact phone number (614) 795-4422.

The enumeration date for this NPI number is 5/15/2021 and was last updated on 5/15/2021.


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
1251C00000XDay Training, Developmentally Disabled ServicesNo
2251E00000XHome HealthYes
3251X00000XSupports BrokerageNo
4261QA0600XClinic/CenterAdult Day CareNo
5261QD1600XClinic/CenterDevelopmental DisabilitiesNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.