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BRUNSWICK COMMUNITY LLC NPI 1891320115


NPI Information

NPI: 1891320115
Provider Name: BRUNSWICK COMMUNITY LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 34D2194519

Address:
5220 OCEAN HWY W
SHALLOTTE, NC
ZIP 28470
Phone: (910) 859-9293
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BRUNSWICK COMMUNITY LLC is an assisted living facility in Shallotte, 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. BRUNSWICK COMMUNITY LLC NPI is 1891320115. The provider is registered as an organization entity type.

The provider's business location address is:

5220 OCEAN HWY W
SHALLOTTE, NC
ZIP 28470-006
Phone: (910) 859-9293

The provider's authorized official is Hugh B Campbell .
The authorized official title is Manager and has the following contact phone number (910) 228-2050.

The CLIA number assigned to this NPI record is 34D2194519 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2020 and was last updated on 3/6/2020.


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 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: 5/5/2024

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