Active NPI
Stanley Total Living Center
- Adult Care Home Facility
- Stanley, NC
National Provider Identifier
1669656047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- NH0386
- Legal business name
- STANLEY TOTAL LIVING CENTER
- Practice address
- 514 Old Mount Holly Rd
Stanley, NC 28164-2191 - Phone
- (704) 263-7155
- Fax
- (704) 263-8959
- NPI assigned
- Dec 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Bryant
- Title
- Controller
- Phone
- (704) 263-1986
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NH0386 | NC | |
| Adult Care Home Facility | 311ZA0620X | NH0386 | NC | Primary |
Addresses
Primary practice location
514 Old Mount Holly Rd
Stanley, NC 28164-2191
Mailing address
PO Box 489
Stanley, NC 28164-0489
Phone (704) 263-7155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7801259 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Stanley Total Living Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Stanley, NC
- NPI 1932383312
-
- Skilled Nursing Facility
- Stanley, NC
- NPI 1407843097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369699200000",
"number": "1669656047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 489",
"city": "STANLEY",
"state": "NC",
"postal_code": "281640489",
"telephone_number": "704-263-7155",
"fax_number": "704-263-8959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 OLD MOUNT HOLLY RD",
"city": "STANLEY",
"state": "NC",
"postal_code": "281642191",
"telephone_number": "704-263-7155",
"fax_number": "704-263-8959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANLEY TOTAL LIVING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-21",
"last_updated": "2013-05-28",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "704-263-1986"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": "NH0386",
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NC",
"license": "NH0386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7801259",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stanley, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.