St Andrews Living Center Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-013-006 Issued in NC

Legal business name

ST ANDREWS LIVING CENTER INC

Practice address

246 Cabarrus Ave W
Concord, NC 28025-5152

Phone

(704) 788-1018

NPI assigned

Aug 21, 2006

Last updated

Aug 22, 2020By 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

Mr. Robert E Underwood Jr.

Title

Owner

Phone

(704) 788-1018

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nardette M Grier, PT, DPT

  • Physical Therapist
  • Kannapolis, NC
  • NPI 1982892154
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588779052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280260143",
            "telephone_number": "704-788-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 CABARRUS AVE W",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255152",
            "telephone_number": "704-788-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANDREWS LIVING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-788-1018",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-013-006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801828",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James R Spencer, DDS
• Timothy Spitzhoff, LCMHC
• Carlecia Spivey
• Dorothy Ann Sprowles, PTA
• SSC Concord Operating Company LLC (Brian Center Health & Retirement - Cabarrus)
• Anthony Gerald St Louis
• Steven H St. Clair, MD
• St. Michael's Therapeutic Services, Inc. #2
• Cynthia Sue Stafford, NP
• Patricia Adeleke Stainback, D.M.D.

• Assisted Living Facility in Concord, NC
• Providers in Concord, 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 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.