Sweet Caroline Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL-023-048 Issued in NC

Legal business name

SWEET CAROLINE ASSISTED LIVING LLC

Practice address

110 Greene Drive
Shelby, NC 28150

Phone

(980) 295-3113

NPI assigned

Jul 6, 2016

Last updated

Jul 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia G Melancon

Title

Administrator

Phone

(980) 295-3113

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1457703126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S DEKALB ST",
            "address_2": "#1054",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28150",
            "telephone_number": "980-295-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GREENE DRIVE",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28150",
            "telephone_number": "980-295-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET CAROLINE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "MELANCON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "980-295-3113"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-023-048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Shelby, NC
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• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.