CCJ Adult Care II LLC
Organization Active NPI Adult Care Home Facility · Lawndale, NC
NPI 1295403137 · NPPES record last updated Sep 3, 2021
Key facts
- NPI
- 1295403137
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- Legal business name
- CCJ ADULT CARE II LLC
- Practice address
- 112 Pony Barn Rd
Lawndale, NC 28090-9466 - Phone
- (704) 538-8026
- Fax
- (704) 671-2192
- NPI assigned
- Sep 3, 2021
- Organization subpart
- No
Authorized official
- Name
- Bernice R Hosch
- Title
- Administrator/Operator
- Phone
- (980) 295-3020
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Yes |
Addresses
Primary practice location
112 Pony Barn Rd
Lawndale, NC 28090-9466
Mailing address
PO Box 74
Bessemer City, NC 28016-0074
Phone (980) 295-3020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HAL-023-049 | Other | NC | STATE OF NC |
Other names
- OpenView Retirement Home
Other providers in Lawndale, NC
- Arash, Inc.
- Megan Elizabeth Kent Baker
- Emily Barnett
- Betty G Wellmon
- Ted Freemon Cash
- CCJ Adult Care V LLC
- CCJ Adult Care VL LLC
- Cleco Primary Care Network
- Ashby Kaylin Dellinger
- Elizabeth Ann Elliott
All providers in Lawndale, NC · Adult Care Home Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.