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GAHC3 MOORESVILLE NC TRS SUB LLC NPI 1578114914


NPI Information

NPI: 1578114914
Provider Name: GAHC3 MOORESVILLE NC TRS SUB, LLC

Doing Business As: CADENCE MOORESVILLE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 34D2202165

Address:
198 E WATERLYNN RD
MOORESVILLE, NC
ZIP 28117
Phone: (704) 660-8000
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GAHC3 MOORESVILLE NC TRS SUB, LLC is an assisted living facility in Mooresville, 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. GAHC3 MOORESVILLE NC TRS SUB, LLC NPI is 1578114914. The provider is registered as an organization entity type.
The provider Is Doing Business As Cadence Mooresville.

The provider's business location address is:

198 E WATERLYNN RD
MOORESVILLE, NC
ZIP 28117-074
Phone: (704) 660-8000
Fax: (704) 660-8001

The provider's authorized official is Danny Prosky .
The authorized official title is President and has the following contact phone number (949) 270-9200.

The CLIA number assigned to this NPI record is 34D2202165 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2019 and was last updated on 10/30/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeNo
2310400000XAssisted Living FacilityYes

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.