NPIMap

Organization Active NPI

Senior Care Carolinas

  • Physical Disabilities Residential Treatment Facility
  • Huntersville, NC
National Provider Identifier
1104361518
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
FCL-060-145
Legal business name
SENIOR CARE CAROLINAS
Practice address
9640 Gilead Grove Rd
Huntersville, NC 28078-2289
Phone
(704) 473-5263
NPI assigned
Dec 21, 2016
Last updated
Dec 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Melissa LynchNPI 1891392510
Title
Owner
Phone
(704) 473-5263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X FCL-060-145 Primary

Addresses

Primary practice location

9640 Gilead Grove Rd
Huntersville, NC 28078-2289

Mailing address

9640 Gilead Grove Rd
Huntersville, NC 28078-2289
Phone (704) 473-5263

National Provider Directory

National Provider Directory
Tax ID family
Senior Care Carolinas3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1104361518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 GILEAD GROVE RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280782289",
            "telephone_number": "704-473-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 GILEAD GROVE RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280782289",
            "telephone_number": "704-473-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE CAROLINAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-473-5263"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": "FCL-060-145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.