Organization Active NPI

Charlotte Assisted Living

  • Assisted Living Facility
  • Charlotte, NC
National Provider Identifier
1356490098
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-060-068 Issued in NC
Legal business name
CHARLOTTE ASSISTED LIVING
Practice address
8700 Lawyers Rd
Charlotte, NC 28227-8740
Phone
(704) 545-7005
Fax
(704) 545-6613
NPI assigned
Jan 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Jodi Welnicke
Title
Business Office MGR.
Phone
(704) 545-7005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-060-068 NC Primary

Addresses

Primary practice location

8700 Lawyers Rd
Charlotte, NC 28227-8740

Mailing address

8700 Lawyers Rd
Charlotte, NC 28227-8740
Phone (704) 545-7005

Other identifiers 1

IdentifierTypeStateIssuer
7805023MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356490098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 LAWYERS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282278740",
            "telephone_number": "704-545-7005",
            "fax_number": "704-545-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 LAWYERS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282278740",
            "telephone_number": "704-545-7005",
            "fax_number": "704-545-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELNICKE",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "BUSINESS OFFICE MGR.",
        "authorized_official_telephone_number": "704-545-7005",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-060-068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805023",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.

Verify at the official NPI Registry.