NPIMap

Organization Active NPI

Morningside of Greensboro, LLC

  • Assisted Living Facility
  • Greensboro, NC
National Provider Identifier
1366480741
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-092-088 Issued in NC
Legal business name
MORNINGSIDE OF GREENSBORO, LLC
Practice address
3200 N Elm St
Greensboro, NC 27408-3853
Phone
(336) 545-3444
Fax
(336) 545-3424
NPI assigned
Jun 4, 2006
Organization subpart
Yes
Parent organization
MORNINGSIDE OF GREENSBORO, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Katherine E Potter
Title
President & Chief Executive Officer
Phone
(617) 796-8387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-092-088 NC Primary

Addresses

Primary practice location

3200 N Elm St
Greensboro, NC 27408-3853

Mailing address

400 Centre St
Newton, MA 02458-2094
Phone (617) 796-8387

Other names 1

  • Morningview at Irving Park Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Life Trust America Inc7 organizations share this tax ID, including this one
Part of
Morningside of Greensboro LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1366480741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582094",
            "telephone_number": "617-796-8387",
            "fax_number": "617-796-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083853",
            "telephone_number": "336-545-3444",
            "fax_number": "336-545-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSIDE OF GREENSBORO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORNINGSIDE OF GREENSBORO, LLC",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-092-088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morningview at Irving Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.