Lynn'S Care Home at Riverside, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

LYNN'S CARE HOME AT RIVERSIDE, LLC

Practice address

5614 Apalachicula Dr
Raleigh, NC 27616-5826

Phone

(919) 621-9670

Fax

(919) 516-0796

NPI assigned

Oct 11, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Ann Marie Cassella

Title

Owner/Administrator

Phone

(919) 621-9670

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1336801000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10215",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276050215",
            "telephone_number": "919-621-9670",
            "fax_number": "919-516-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5614 APALACHICULA DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165826",
            "telephone_number": "919-621-9670",
            "fax_number": "919-516-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN'S CARE HOME AT RIVERSIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "CASSELLA",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "919-621-9670",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan Lyles
• Cheryl Marie Lynch
• Madeline Alicia Lynch, LCMHCA
• Patricia Lynch, R.D., L.D.N.
• Lynn D. Hoban, DMD, MPH
• Lynn'S Home at Saybrooke, LLC
• Lynns Care Home at Sandy Forks, LLC
• Chloe Elizabeth Lyon, PT, DPT
• Elizabeth L Lyon, M.S., C.G.C.
• Lyons Relational Counseling & Consulting, PLLC

• Adult Care Home Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.