Organization Active NPI

Oriole Place Adult Care Home

  • Assisted Living Facility (Mental Illness)
  • Charlotte, NC
National Provider Identifier
1093858623
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
FCL-060-084 Issued in NC
Legal business name
ORIOLE PLACE ADULT CARE HOME
Practice address
3505 Oriole PL
Charlotte, NC 28269-1214
Phone
(704) 494-4731
Fax
(704) 494-4731
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Mildred M Philippe-Auguste, RN
Title
Administrator
Phone
(704) 494-4731

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X FCL-060-084 NC Primary
Non-emergency Medical Transport (VAN) 343900000X FCL-060-084 NC

Addresses

Primary practice location

3505 Oriole PL
Charlotte, NC 28269-1214

Mailing address

3505 Oriole PL
Charlotte, NC 28269-1214
Phone (704) 494-4731

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1093858623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 ORIOLE PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691214",
            "telephone_number": "704-494-4731",
            "fax_number": "704-494-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 ORIOLE PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691214",
            "telephone_number": "704-494-4731",
            "fax_number": "704-494-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIOLE PLACE ADULT CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "PHILIPPE-AUGUSTE",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-494-4731",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "FCL-060-084",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": "FCL-060-084",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 26, 2007; 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.