Organization Active NPI

McAp Salisbury LLC

Doing business as Commonwealth Senior Living at Salisbury

  • Assisted Living Facility
  • Salisbury, MD
National Provider Identifier
1053906073
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MCAP SALISBURY LLC
Doing business as
Commonwealth Senior Living at Salisbury
Practice address
611 Tressler Dr
Salisbury, MD 21801-7406
Phone
(410) 860-8750
Fax
(410) 860-9096
NPI assigned
Mar 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ladonna Lewis
Title
Director of Compliance
Phone
(434) 566-1309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

611 Tressler Dr
Salisbury, MD 21801-7406

Mailing address

PO Box 2064
Charlottesville, VA 22902-2064
Phone (434) 566-1309

Other names 1

  • Commonwealth Senior Living at Salisbury Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2228109Commonwealth Senior Living at Salisbury611 Tressler Drive, Salisbury, MD 21801Certificate of waiverJun 21, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1053906073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2064",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229022064",
            "telephone_number": "434-566-1309",
            "fax_number": "434-322-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 TRESSLER DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017406",
            "telephone_number": "410-860-8750",
            "fax_number": "410-860-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCAP SALISBURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "434-566-1309"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Senior Living at Salisbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.