Gahc3 Mint Hill NC TRS Sub, LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

GAHC3 MINT HILL NC TRS SUB, LLC

Doing business as

Cadence Senior Living at Mint Hill

Practice address

5601 Margaret Wallace Rd
Matthews, NC 28105-2119

Phone

(704) 573-4000

Fax

(704) 573-4002

NPI assigned

Sep 26, 2019

Organization subpart

No

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

Authorized official

Name

Danny Prosky

Title

President

Phone

(949) 270-9200

Specialties & licenses 2

Addresses

Other names 1

• Cadence Senior Living at Mint Hill Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1083265425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18191 VON KARMAN AVE STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926127106",
            "telephone_number": "949-270-9200",
            "fax_number": "949-474-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 MARGARET WALLACE RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052119",
            "telephone_number": "704-573-4000",
            "fax_number": "704-573-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAHC3 MINT HILL NC TRS SUB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "PROSKY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-270-9200"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cadence Senior Living at Mint Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald V Futerman, DPM
• Summer Mackenzie Futrell
• G.I.B.I.S. Inc.
• Christopher Cyril Gabriel, PT
• Shekia Gaddis
• Lindsey Gaines, DPT
• Peyton Noelle Galbreath, OT
• Brittany Allison Galyan, BCBA
• Ganglani Matthews PLLC
• Meghan Sue Ganio Molinari, RD

• Custodial Care Facility in Matthews, NC
• Providers in Matthews, NC by specialty
• Custodial Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.