Senior Total Life Care

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

SENIOR TOTAL LIFE CARE

Practice address

1875 Remount Rd
Gastonia, NC 28054-7413

Phone

(704) 874-0600

Fax

(704) 865-4785

NPI assigned

Apr 26, 2013

Last updated

Nov 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rick Richards

Title

Program Director

Phone

(704) 874-0602

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1083058598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 REMOUNT RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547413",
            "telephone_number": "704-874-0600",
            "fax_number": "704-865-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 REMOUNT RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547413",
            "telephone_number": "704-874-0600",
            "fax_number": "704-865-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR TOTAL LIFE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "704-874-0602"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• PACE Provider Organization in Gastonia, NC
• Providers in Gastonia, NC by specialty
• PACE Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.