Active NPI
Carillon Assisted Living of Salisbury
- Lodging Provider
- Salisbury, NC
National Provider Identifier
1295943918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- License
- HAL-080-013
- Legal business name
- CARILLON ASSISTED LIVING OF SALISBURY
- Practice address
- 1915 Mooresville Rd
Salisbury, NC 28147-8813 - Phone
- (704) 633-4666
- Fax
- (704) 633-6400
- NPI assigned
- May 18, 2007
- 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
- Mrs. Evie G. Maderios
- Title
- Accounts Receivable Manager
- Phone
- (919) 852-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | HAL-080-013 | NC | Primary |
Addresses
Primary practice location
1915 Mooresville Rd
Salisbury, NC 28147-8813
Mailing address
4901 Waters Edge Dr
Ste. 200
Raleigh, NC 27606-2464
Phone (919) 852-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7803863 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295943918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 WATERS EDGE DR",
"address_2": "STE. 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276062464",
"telephone_number": "919-852-4000",
"fax_number": "919-852-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 MOORESVILLE RD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281478813",
"telephone_number": "704-633-4666",
"fax_number": "704-633-6400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARILLON ASSISTED LIVING OF SALISBURY",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MADERIOS",
"authorized_official_first_name": "EVIE",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
"authorized_official_telephone_number": "919-852-4000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Lodging",
"state": "NC",
"license": "HAL-080-013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7803863",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
- Connie Somido Capinpin, OTR/L
- Kenneth Ralph Capone, RPH
- Christopher Joseph Cappello, MD
- Care Medical Supply, Inc
- Care Transport Group, Inc
- Caring Hands of Salisbury LLC
- Kristen Taylor Carlisle, MPH, CHES, NBC-HWC
- Susan Lynn Carlton, LSCW
- Carnaggio and Piper DMD Ms PA (Piedmont Dental Associates Salisbury)
- Carolina Counseling and Consultation, LLC (Carolina Counseling Services)
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.