Organization Active NPI

Carillon Assisted Living of Salisbury

  • Lodging Provider
  • Salisbury, NC
National Provider Identifier
1295943918
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
License
HAL-080-013 Issued in NC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Lodging ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7803863MedicaidNC

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.