Organization Active NPI

Stanley Total Living Center

  • Adult Care Home Facility
  • Stanley, NC
National Provider Identifier
1669656047
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
NH0386 Issued in NC
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

Updated by the provider on May 28, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7801259MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Stanley Total Living Center3 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.

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.

Verify at the official NPI Registry.