Sullivan Assisted Living Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL-045-084 Issued in NC

Legal business name

SULLIVAN ASSISTED LIVING INC

Practice address

34 Monet Court
Flat Rock, NC 28731-9786

Phone

(828) 685-8611

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Sharon Cohen

Title

Administrator

Phone

(828) 685-8611

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Sullivan Assisted Living Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sullivan Assisted Living Inc

  • Assisted Living Facility
  • Flat Rock, NC
  • NPI 1457489551
  NPD tax ID
• Sullivan Assisted Living, Inc

  • Assisted Living Facility
  • Flat Rock, NC
  • NPI 1326176504
  NPD tax ID

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598893695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "EAST FLAT ROCK",
            "state": "NC",
            "postal_code": "287260112",
            "telephone_number": "828-685-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MONET COURT",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319786",
            "telephone_number": "828-685-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-685-8611"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-045-084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804752",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Staywell, Inc
• Stepping Stones Pediatric Services, Inc.
• Rebecca Spring Stevens, FNP-C
• Anthony Baxter Strickland
• Sullivan Assisted Living Inc
• Sullivan Assisted Living, Inc
• Jon Wesley Temple, PHARMD
• Ann T Thompson, NP
• Ruth Mize Thomson, DO
• Laura Kathryn Tryon, FNP-C

• All providers in Flat Rock, NC
• 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.