NPIMap

Organization Active NPI

Carolina Seniorcare

  • PACE Provider Organization
  • Lexington, NC
National Provider Identifier
1093075905
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
CAROLINA SENIORCARE
Practice address
802 E Center St
Lexington, NC 27292-4402
Phone
(336) 746-3500
Fax
(336) 746-3523
NPI assigned
May 24, 2012
Last updated
May 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
John Brantley Larew
Title
Director of It
Phone
(828) 465-8016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X NU Primary

Addresses

Primary practice location

802 E Center St
Lexington, NC 27292-4402

Mailing address

802 E Center St
Lexington, NC 27292-4402
Phone (336) 746-3500

National Provider Directory

National Provider Directory

Locations

802 E Center St
Lexington, NC 27292
Phone (336) 746-3500

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1093075905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E CENTER ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272924402",
            "telephone_number": "336-746-3500",
            "fax_number": "336-746-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E CENTER ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272924402",
            "telephone_number": "336-746-3500",
            "fax_number": "336-746-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SENIORCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "LAREW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRANTLEY",
        "authorized_official_title_or_position": "DIRECTOR OF IT",
        "authorized_official_telephone_number": "828-465-8016"
    },
    "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": []
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.