Southern Living for Seniors of Burnsville NC LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SOUTHERN LIVING FOR SENIORS OF BURNSVILLE NC LLC

Practice address

270 Love Fox Rd
Burnsville, NC 28714-9109

Phone

(828) 682-3417

NPI assigned

Apr 17, 2018

Organization subpart

No

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

Authorized official

Name

Kenneth Simons

Title

Managing Member

Phone

(470) 551-2006

Specialties & licenses 3

Addresses

Other names 1

• Southern Living for Seniors Doing business as

Locations

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1396232195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 LOVE FOX RD",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287149109",
            "telephone_number": "828-682-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 LOVE FOX RD",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287149109",
            "telephone_number": "828-682-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN LIVING FOR SENIORS OF BURNSVILLE NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "470-551-2006"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Living for Seniors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sisters of Mercy Urgent Care Inc
• Carrie Duncan Smith, DNP, FNP-BC
• Jennifer Mauney Smith, O.D.
• Katie Smith
• Smokey Ridge Health and Rehabilitation SNF LLC
• Southmountain Children and Family Services
• Spruce Pine Community Hospital
• Robert McKinley Stafford III, LPC
• Ashley Lashannon Stanley, PTA
• Still Waters Family Health

• All providers in Burnsville, NC
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.