Organization Active NPI

Carlisle at Carrboro

  • Assisted Living Facility
  • Carrboro, NC
National Provider Identifier
1609531508
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CARLISLE AT CARRBORO
Practice address
624 Jones Ferry Rd
Carrboro, NC 27510-2157
Phone
(336) 608-9491
NPI assigned
Nov 4, 2021
Last updated
Nov 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Mrs. Laticia Nicole Beatty, CEO
Title
Executuive
Phone
(336) 608-9491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

624 Jones Ferry Rd
Carrboro, NC 27510-2157

Mailing address

609 S Bend Dr
Durham, NC 27713-6177
Phone (336) 608-9491

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1609531508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S BEND DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136177",
            "telephone_number": "336-608-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 JONES FERRY RD",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102157",
            "telephone_number": "336-608-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLISLE AT CARRBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "LATICIA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTUIVE",
        "authorized_official_telephone_number": "336-608-9491",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.