NPIMap

Organization Active NPI

Brookdale Senior Living

Doing business as Weddington Park

  • Assisted Living Facility
  • Matthews, NC
National Provider Identifier
1679710099
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-060-042 Issued in NC
Legal business name
BROOKDALE SENIOR LIVING
Doing business as
Weddington Park
Practice address
2404 Plantation Center Dr
Matthews, NC 28105-5299
Phone
(704) 847-9477
Fax
(704) 814-9869
NPI assigned
Jan 8, 2009
Last updated
Jan 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Scott Avery
Title
Executive Director
Phone
(704) 847-9477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-060-042 NC Primary

Addresses

Primary practice location

2404 Plantation Center Dr
Matthews, NC 28105-5299

Mailing address

2404 Plantation Center Dr
Matthews, NC 28105-5299
Phone (704) 847-9477

Other names 1

  • Weddington Park Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 43

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1679710099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 PLANTATION CENTER DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055299",
            "telephone_number": "704-847-9477",
            "fax_number": "704-814-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 PLANTATION CENTER DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055299",
            "telephone_number": "704-847-9477",
            "fax_number": "704-814-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-847-9477"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-060-042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weddington Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.