Carillon Assisted Living of Wakefield, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CARILLON ASSISTED LIVING OF WAKEFIELD, LLC

Doing business as

Calyx Living of Wakefield

Practice address

11555 Common Oaks Dr
Raleigh, NC 27614

Phone

(919) 746-0333

NPI assigned

Dec 24, 2024

Organization subpart

No

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

Authorized official

Name

Karen E. Moriarty

Title

Ceo, President

Phone

(919) 852-4000

Specialties & licenses 1

Addresses

Other names 1

• Calyx Living of Wakefield Doing business as

Locations

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

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1669280434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 WATERS EDGE DR STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062464",
            "telephone_number": "919-852-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 COMMON OAKS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27614",
            "telephone_number": "919-746-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILLON ASSISTED LIVING OF WAKEFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-24",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "MORIARTY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "919-852-4000"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calyx Living of Wakefield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vashawn Lamar Carey, LCMHC, LCAS
• Jocelyn Cargile, PHARMD
• Cargo Conveyance Intervention Inc (Cci)
• Christina Mary Carilli, MS. LCMHCA, CRC
• Carillon Assisted Living of Raleigh-Old Wake Forest Road
• Caring and Loving Homecare Inc
• Caring Carriage Senior Transportation Service LLC
• Caring Collection
• Caring Compass LLC
• Caring Family Network

• Adult Care Home Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.