Ec Opco Southport LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EC OPCO SOUTHPORT LP

Doing business as

Elmcroft of Southport

Practice address

1125 E Leonard St
Southport, NC 28461-8316

Phone

(910) 454-4001

Fax

(910) 454-0300

NPI assigned

Nov 19, 2019

Last updated

Nov 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy W Fleming

Title

Controller for Management Company

Phone

(971) 227-3922

Specialties & licenses 3

Addresses

Other names 1

• ELMCROFT OF SOUTHPORT 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

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1285270876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ELMCROFT OF SOUTHPORT",
            "address_2": "5885 MEADOWS ROAD #500",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "971-213-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E LEONARD ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618316",
            "telephone_number": "910-454-4001",
            "fax_number": "910-454-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EC OPCO SOUTHPORT LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CONTROLLER FOR MANAGEMENT COMPANY",
        "authorized_official_telephone_number": "971-227-3922"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELMCROFT OF SOUTHPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlyn Dunn
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• Lillian E Eckhardt, PT
• Lauren Michelle Lee Elijah, PHARMD
• Laura Elson, PT
• Emergeortho, PA
• Christina Valvano England, PT

• Assisted Living Facility in Southport, NC
• Providers in Southport, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.