NPIMap

Carolinas Alliance for Residential Excellence - Star, LLC

Organization Active NPI Adult Care Home Facility · Star, NC

NPI 1427639335 · NPPES record last updated Apr 21, 2021

Key facts

NPI
1427639335
Entity type
Organization (NPI type 2)
Primary specialty
Adult Care Home Facility 311ZA0620X
Legal business name
CAROLINAS ALLIANCE FOR RESIDENTIAL EXCELLENCE - STAR, LLC
Practice address
327 Freeman St
Star, NC 27356-7948
Phone
(910) 428-9101
NPI assigned
Apr 21, 2021
Organization subpart
Yes
Parent organization (as reported)
CAROLINAS ALLIANCE FOR RESIDENTIAL EXCELLENCE HOLDINGS, LLC

Authorized official

Name
Lauren Ashley Reavis-Ware, RN
Title
Coo
Phone
(336) 408-5008

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2016198Montgomery Senior Living
327 Freeman St, Star, NC 27356		Certificate of waiverApr 7, 2027

National Provider Directory

Part of
Carolinas Alliance for Residential Excellence Holdings LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Yes

Addresses

Primary practice location

327 Freeman St
Star, NC 27356-7948

Mailing address

PO Box 471
Newland, NC 28657-0471
Phone (855) 677-1188

Other names

  • Montgomery Senior Living Doing business as

Other providers in Star, NC

All providers in Star, NC · Adult Care Home Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.