Carillon Assisted Living of Hendersonville

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

License

HAL-045-093 Issued in NC

Legal business name

CARILLON ASSISTED LIVING OF HENDERSONVILLE

Practice address

3851 Howard Gap Rd
Hendersonville, NC 28792-3102

Phone

(828) 693-0700

Fax

(828) 697-0027

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Evie G. Maderios

Title

Accounts Receivable Manager

Phone

(919) 852-4000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568670206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 WATERS EDGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062464",
            "telephone_number": "919-852-4000",
            "fax_number": "919-852-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 HOWARD GAP RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287923102",
            "telephone_number": "828-693-0700",
            "fax_number": "828-697-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILLON ASSISTED LIVING OF HENDERSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADERIOS",
        "authorized_official_first_name": "EVIE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "919-852-4000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lodging",
            "state": "NC",
            "license": "HAL-045-093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805403",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Molly Bridget Carlin, LCSW, LCAS
• Suzanne Carlin, LPC
• Rita Carmody
• Brixana Jane Carmona
• Liane A Carnow, OT

• Lodging Provider in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Lodging Provider in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.