Landmark Assisted Living LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

LANDMARK ASSISTED LIVING LLC

Doing business as

Grayson Creek of Welcome
Landmark Estates

Practice address

6781 Old US Highway 52
Lexington, NC 27295-5336

Phone

(336) 752-2751

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Evleyn McCubbins

Title

Owner/Admin

Phone

(336) 752-2751

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Grayson Creek of Welcome Doing business as
• Landmark Estates Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1235238957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 SOWERS RD",
            "city": "LINWOOD",
            "state": "NC",
            "postal_code": "272999351",
            "telephone_number": "336-752-2751",
            "fax_number": "336-752-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6781 OLD US HIGHWAY 52",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272955336",
            "telephone_number": "336-752-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "MCCUBBINS",
        "authorized_official_first_name": "EVLEYN",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "336-752-2751"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801233",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grayson Creek of Welcome",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Landmark Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hing L Kwan, D.C.
• Deah Lafferty
• Aanchal Lal
• Michelle Lynn Lamacchia, NP
• Phillip Barton Land, PA-C
• Deeannah Marie Lanning, LCMHCA, NCC,
• Jerry A Laws, DDS
• Kelly S Laws, PHARM D, RPH
• Anita Sumner Lee
• Beatrice Lee

• Adult Care Home Facility in Lexington, NC
• Providers in Lexington, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.