Senior Memory Care LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

HAL060067 Issued in NC

Legal business name

SENIOR MEMORY CARE LLC

Doing business as

PRESTON HOUSE 2

Practice address

4920 Harris Woods Blvd
Charlotte, NC 28269-0486

Phone

(704) 895-3645

NPI assigned

May 19, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Norman John Gordon

Title

President Edencare Inc., Member

Phone

(704) 895-3645

Specialties & licenses 1

Addresses

Other names 1

• PRESTON HOUSE 2 Doing business as

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1669607727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280360837",
            "telephone_number": "704-895-3645",
            "fax_number": "704-896-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 HARRIS WOODS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690486",
            "telephone_number": "704-895-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MEMORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT EDENCARE INC., MEMBER",
        "authorized_official_telephone_number": "704-895-3645",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NC",
            "license": "HAL060067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESTON HOUSE 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Amelia Semple, MD
• Roxanne Denise Semple, MD
• Carolyne Sendolo, RN, FNP
• Renita Sengupta, PSYD
• Senior Health Connection
• Edward C. Senior, DDS
• Seniority First Home Care
• Taya Senn, PA-C
• Senortiy First
• Sensenbrenner Primary Care, PLLC

• Alzheimer Center (Dementia Center) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Alzheimer Center (Dementia Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.