PS SENIOR LIVING LLC NPI 1528616737

NPI Information

  • NPI: 1528616737
  • Provider Name: PS SENIOR LIVING LLC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • CLIA Number: 34D2207896
  • Address: 904 RALEIGH ST
    OXFORD, NC
    ZIP 27565
  • Phone: (919) 693-2123

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NPI Details

PS SENIOR LIVING LLC is an adult care home custodial care facility in Oxford, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. PS SENIOR LIVING LLC NPI is 1528616737. The provider is registered as an organization entity type.

The provider's business location address is:

904 RALEIGH ST
OXFORD, NC
ZIP 27565-744
Phone: (919) 693-2123

The provider's authorized official is Prabhjot Singh .
The authorized official title is Member and has the following contact phone number (269) 329-8187.

The CLIA number assigned to this NPI record is 34D2207896 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2019 and was last updated on 8/30/2019.

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
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

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This page was last updated on: 11/21/2025

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