Organization Active NPI

Carillon Assisted Living of Mooresville LLC

  • Assisted Living Facility
  • Mooresville, NC
National Provider Identifier
1184057390
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CARILLON ASSISTED LIVING OF MOORESVILLE LLC
Practice address
198 E Waterlynn Rd
Mooresville, NC 28117-8074
Phone
(704) 660-8000
NPI assigned
Aug 12, 2013
Last updated
Aug 12, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CARILLON ASSISTED LIVING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Ms. Karen E Moriarty
Title
Ceo & President
Phone
(919) 852-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

198 E Waterlynn Rd
Mooresville, NC 28117-8074

Mailing address

4901 Waters Edge Dr Ste 200
Raleigh, NC 27606-2464
Phone (919) 852-4000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1184057390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 WATERS EDGE DR STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062464",
            "telephone_number": "919-852-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 E WATERLYNN RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178074",
            "telephone_number": "704-660-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILLON ASSISTED LIVING OF MOORESVILLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARILLON ASSISTED LIVING, LLC",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "MORIARTY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "919-852-4000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.