Ec Little Avenue Operations, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL-060-082 Issued in NC

Legal business name

EC LITTLE AVENUE OPERATIONS, LLC

Doing business as

Elmcroft of Little Avenue

Practice address

7745 Little Ave
Charlotte, NC 28226-8168

Phone

(704) 541-9333

Fax

(704) 541-5358

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Mr. William P Mulloy II

Title

President

Phone

(502) 753-6001

Specialties & licenses 1

Addresses

Other names 1

• Elmcroft of Little Avenue Doing business as

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1235305343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6000",
            "fax_number": "502-753-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7745 LITTLE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268168",
            "telephone_number": "704-541-9333",
            "fax_number": "704-541-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EC LITTLE AVENUE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "MULLOY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-753-6001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-060-082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmcroft of Little Avenue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John P Ebert, MD
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• Colleen M. Ebner, CRNA
• Corlan Olukemi Eboh, MD
• Neda Ebrahimi
• Ec Opco Little Avenue, LP
• Emily Kathryn Ecarma, LCMHCA
• Barbara Eccles, MA, NCC, LCMHCS
• Amanda Nicole Eccleston, PHARMD
• Echelon Care

• Adult Care Home Facility in Charlotte, NC
• Providers in Charlotte, 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 May 8, 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.

Verify at the official NPI Registry.