Concord House LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL013031 Issued in NC

Legal business name

CONCORD HOUSE LLC

Doing business as

Concord House

Practice address

2339 Odell School Rd
Concord, NC 28027-7454

Phone

(704) 785-9501

Fax

(704) 786-1497

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth Hodges

Title

Member Manager

Phone

(828) 738-3046

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Concord House Doing business as

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689700809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 ODELL SCHOOL RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277454",
            "telephone_number": "704-785-9501",
            "fax_number": "704-786-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 ODELL SCHOOL RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277454",
            "telephone_number": "704-785-9501",
            "fax_number": "704-786-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "828-738-3046"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL013031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805307",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Concord Christian Center
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• Concord Family Chiropractic
• Concord Health and Rehabilitation SNF LLC
• Concord Health Care LP
• Concord Medical Clinic, Inc.
• Concord Medical Transportation Services
• Concord Operator LLC
• Concord Pharmacy and Surgical Supply
• Concord Place

• Assisted Living Facility in Concord, NC
• Providers in Concord, 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 Aug 22, 2020; 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.