Carillon Assisted Living of Mint Hill, LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

CARILLON ASSISTED LIVING OF MINT HILL, LLC

Practice address

5601 Margaret Wallace Road
Matthews, NC 28105

Phone

(704) 573-4000

Fax

(704) 573-4002

NPI assigned

Jul 14, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

CARILLON ASSISTED LIVING, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Karen E Moriarty

Title

President and Ceo

Phone

(919) 852-4000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376065003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 MARGARET WALLACE ROAD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "704-573-4000",
            "fax_number": "704-573-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 MARGARET WALLACE ROAD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "704-573-4000",
            "fax_number": "704-573-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILLON ASSISTED LIVING OF MINT HILL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARILLON ASSISTED LIVING, LLC",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MORIARTY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "919-852-4000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Cao, OD
• Riley Dwayne Capell
• Natalia Cardona, MD, MPH
• Care Now Medical Clinic
• Careoptima, LLC (CareOptima Home Care Services)
• Beth L Carlson, M.D.
• Lauren Elizabeth Carlston, PA-C
• Kristen Emily Carney, RD, LDN
• Carolina Colon & Rectal Specialists PA
• Carolina Family and Maternal Counseling, PLLC

• Custodial Care Facility in Matthews, NC
• Providers in Matthews, NC by specialty
• Custodial Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.