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STANLEY TOTAL LIVING CENTER NPI 1669656047


NPI Information

NPI: 1669656047
Provider Name: STANLEY TOTAL LIVING CENTER
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
514 OLD MOUNT HOLLY RD
STANLEY, NC
ZIP 28164
Phone: (704) 263-7155
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STANLEY TOTAL LIVING CENTER is an adult care home custodial care facility in Stanley, 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. STANLEY TOTAL LIVING CENTER NPI is 1669656047. The provider is registered as an organization entity type.

The provider's business location address is:

514 OLD MOUNT HOLLY RD
STANLEY, NC
ZIP 28164-191
Phone: (704) 263-7155
Fax: (704) 263-8959

The provider's authorized official is Sharon Bryant .
The authorized official title is Controller and has the following contact phone number (704) 263-1986.

The enumeration date for this NPI number is 12/21/2007 and was last updated on 5/28/2013.


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 FacilityNH0386NORTH CAROLINANo
2311ZA0620XCustodial Care FacilityAdult Care HomeNH0386NORTH CAROLINAYes

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
17801259MEDICAIDNORTH 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

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