Queen City Al Holdings, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-060-130 Issued in NC

Legal business name

QUEEN CITY AL HOLDINGS, LLC

Practice address

13600 S Tryon St
Charlotte, NC 28278-7623

Phone

(704) 705-2727

Fax

(704) 504-1049

NPI assigned

Jan 9, 2014

Organization subpart

Yes

Parent organization

SABER HEALTHCARE HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

William I Weisberg

Title

Vice President

Phone

(216) 292-5706

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Crossings at Steele Creek Doing business as

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1104248202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26691 RICHMOND RD",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441461421",
            "telephone_number": "216-292-5706",
            "fax_number": "216-292-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13600 S TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787623",
            "telephone_number": "704-705-2727",
            "fax_number": "704-504-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY AL HOLDINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
        "enumeration_date": "2014-01-09",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "216-292-5706"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-060-130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104248202",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Crossings at Steele Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee Peta-Gae Quarrie, M.D.
• Ricardo Orlando Quarrie, MD
• Elyse Quartini, PT
• Brittni Nicole Quattlebaum, PT, DPT
• Queen Charlotte Hair Replacement Center
• Queen City Behavioral Health and Wellness
• Queen City Care Home
• Queen City Cocoa Beans Inc
• Queen City Compassionate Home Care Agency LLC
• Queen City Counseling & Consulting, PLLC

• Assisted Living Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.