Lawyers Glen Retirement Living Center LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAWYERS GLEN RETIREMENT LIVING CENTER LLC

Practice address

10830 Lawyers Glen Drive
Charlotte, NC 28227

Phone

(704) 545-9555

Fax

(704) 545-2075

NPI assigned

Jan 16, 2007

Last updated

May 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John J Elliotte

Title

Owner Administrator

Phone

(704) 545-9555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1679624431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10830 LAWYERS GLEN DRIVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28227",
            "telephone_number": "704-545-9555",
            "fax_number": "704-545-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 LAWYERS GLEN DRIVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28227",
            "telephone_number": "704-545-9555",
            "fax_number": "704-545-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWYERS GLEN RETIREMENT LIVING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "ELLIOTTE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "704-545-9555"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804718",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myesha Lawson
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• Cheyenne Elvia Lawton
• Stacy Lawyer
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• Eric Brian Laxer, MD
• Judy Laxer, D.D.S., CERT. PEDO

• Assisted Living Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.