Active NPI
Shirley Jean Carswell
- Assisted Living Facility
- Morganton, NC
National Provider Identifier
1164554234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- FCL 012017
- Practice address
- 5415 Rob Carswell St
Morganton, NC 28655-9438 - Phone
- (828) 437-6544
- Fax
- (828) 437-0429
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | FCL 012017 | NC | Primary |
| Assisted Living Facility | 310400000X | FCL 012026 | NC |
Addresses
Primary practice location
5415 Rob Carswell St
Morganton, NC 28655-9438
Mailing address
5415 Rob Carswell St
Morganton, NC 28655-9438
Phone (828) 438-2886
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7802855 | Medicaid | NC | |
| 7805376 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FCL 012017 | NC | MD | Assisted Living Facility |
| FCL 012026 | NC | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Country Pines Family Care Home | Assisted Living Facility | Current | Accepting new patients |
| Shirley J Carswell | Assisted Living Facility | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Assisted Living Facility
- Morganton, NC
- NPI 1952424152
-
- Assisted Living Facility
- Morganton, NC
- NPI 1669594198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1164554234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5415 ROB CARSWELL ST",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286559438",
"telephone_number": "828-438-2886",
"fax_number": "828-437-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5415 ROB CARSWELL ST",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286559438",
"telephone_number": "828-437-6544",
"fax_number": "828-437-0429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSWELL",
"first_name": "SHIRLEY",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": "FCL 012017",
"primary": true
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": "FCL 012026",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7802855",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7805376",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morganton, NC
- Carolinas Physicians Network Inc
- Kenneth Lee Carrico, Jr. Jr., PH.D.
- Laura Rebecca Carson, MSW, LCSW
- Brittany Brown Carswell, PHARMD
- Heather Carswell, OTRL
- Andrew Carter
- Jerry Carter, DMD
- Catawba River Behavioral & Treatment Associates, Inc.
- Catawba River Behavioran & Treatment Associates Inc.
- Catawba River Behavoiral & Treatment Associates, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.