Gahc3 Mooresville NC TRS Sub, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GAHC3 MOORESVILLE NC TRS SUB, LLC

Doing business as

Cadence Mooresville

Practice address

198 E Waterlynn Rd
Mooresville, NC 28117-8074

Phone

(704) 660-8000

Fax

(704) 660-8001

NPI assigned

Sep 26, 2019

Organization subpart

No

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

Authorized official

Name

Danny Prosky

Title

President

Phone

(949) 270-9200

Specialties & licenses 2

Addresses

Other names 1

• Cadence Mooresville Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1578114914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18191 VON KARMAN AVE STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926127106",
            "telephone_number": "949-270-9200",
            "fax_number": "949-474-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 E WATERLYNN RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178074",
            "telephone_number": "704-660-8000",
            "fax_number": "704-660-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAHC3 MOORESVILLE NC TRS SUB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "PROSKY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-270-9200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cadence Mooresville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cadence Mooresville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alycia Ann Fulton, MS CCC SLP
• NA-Ilah Imani Fulton, MA
• Tracy Lynn Furman, PT
• G Ross Abrams DMD
• Gach Investments LLC (D. I. R. Health)
• Meera Patel Gallagher, M.D.
• Jennifer M Gallione, PT, DPT
• Alexa Gallo, ATC
• Lindsey Gardner, PHARMD
• Ben Javier Garrido, MD

• Assisted Living Facility in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.