Organization Active NPI

Ec Opco Little Avenue, LP

Doing business as Elmcroft of Little Avenue

  • Assisted Living Facility
  • Charlotte, NC
National Provider Identifier
1063083749
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EC OPCO LITTLE AVENUE, LP
Doing business as
Elmcroft of Little Avenue
Practice address
7745 Little Ave
Charlotte, NC 28226-8168
Phone
(704) 541-9333
Fax
(704) 541-5358
NPI assigned
Jul 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Authorized official

Name
Amy W. Fleming
Title
Controller of Management Company
Phone
(971) 227-3922

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Custodial Care Facility 311Z00000X
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

7745 Little Ave
Charlotte, NC 28226-8168

Mailing address

5885 Meadows Rd Ste 500
Lake Oswego, OR 97035-8646
Phone (971) 213-4234

Other names 1

  • ELMCROFT OF LITTLE AVENUE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625443200000",
    "number": "1063083749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 MEADOWS RD STE 500",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358646",
            "telephone_number": "971-213-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7745 LITTLE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268168",
            "telephone_number": "704-541-9333",
            "fax_number": "704-541-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EC OPCO LITTLE AVENUE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CONTROLLER  OF MANAGEMENT COMPANY",
        "authorized_official_telephone_number": "971-227-3922"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELMCROFT OF LITTLE AVENUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.