RED SPRINGS RETIREMENT COMMUNITY LLC NPI 1760626303

NPI Information

  • NPI: 1760626303
  • Provider Name: RED SPRINGS RETIREMENT COMMUNITY, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 34D2016176
  • Address: 1301 E 4TH AVE
    RED SPRINGS, NC
    ZIP 28377
  • Phone: (910) 359-0068

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NPI Details

RED SPRINGS RETIREMENT COMMUNITY, LLC is an assisted living facility in Red Springs, 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. RED SPRINGS RETIREMENT COMMUNITY, LLC NPI is 1760626303. The provider is registered as an organization entity type.

The provider's business location address is:

1301 E 4TH AVE
RED SPRINGS, NC
ZIP 28377-661
Phone: (910) 359-0068

The provider's authorized official is David Dean Wilson .
The authorized official title is Managing Member and has the following contact phone number (336) 495-2700.

The CLIA number assigned to this NPI record is 34D2016176 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2009 and was last updated on 6/13/2013.

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
1311ZA0620XCustodial Care FacilityAdult Care HomeHAL-078-083NORTH CAROLINANo
2310400000XAssisted Living FacilityYes

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
17806341MEDICAIDNORTH 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: 3/30/2025

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