Active NPI
Usi II LLC
Doing business as The Parc At Sharon Amity
- Assisted Living Facility
- Charlotte, NC
National Provider Identifier
1285753525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- HAL-060-040
- Legal business name
- USI II LLC
- Doing business as
- The Parc At Sharon Amity
- Practice address
- 4025 N Sharon Amity Rd
Charlotte, NC 28205-4975 - Phone
- (704) 569-9661
- Fax
- (704) 569-9662
- NPI assigned
- Mar 28, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles E Trefzger Jr.
- Title
- Court Appointed Receiver
- Phone
- (828) 322-5535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | HAL-060-040 | NC | Primary |
Addresses
Primary practice location
4025 N Sharon Amity Rd
Charlotte, NC 28205-4975
Mailing address
PO Box 2568
Hickory, NC 28603-2568
Phone (828) 322-5535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7803797 | Medicaid | NC |
Other names 1
- The Parc At Sharon Amity
National Provider Directory
National Provider Directory- Tax ID family
- The Parc at Brevard
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285753525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2568",
"city": "HICKORY",
"state": "NC",
"postal_code": "286032568",
"telephone_number": "828-322-5535",
"fax_number": "828-322-9587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 N SHARON AMITY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282054975",
"telephone_number": "704-569-9661",
"fax_number": "704-569-9662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USI II LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TREFZGER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "COURT APPOINTED RECEIVER",
"authorized_official_telephone_number": "828-322-5535",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": "HAL-060-040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7803797",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Parc At Sharon Amity",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.