Organization Active NPI

Abundant Living Adult Day Services, Inc.

Doing business as Trinity Living Center

  • Adult Day Care Clinic/Center
  • Salisbury, NC
National Provider Identifier
1689753568
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
3408548 Issued in NC
Legal business name
ABUNDANT LIVING ADULT DAY SERVICES, INC.
Doing business as
Trinity Living Center
Practice address
1416 S Martin Luther King Jr Ave Ste a
Salisbury, NC 28144
Phone
(704) 637-3940
NPI assigned
Nov 3, 2006
Last updated
Aug 29, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LUTHERAN SERVICE OF THE AGINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Kesha Smith
Title
Chief Operating Officer
Phone
(704) 754-8222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 3408548 NC Primary

Addresses

Primary practice location

1416 S Martin Luther King Jr Ave Ste a
Salisbury, NC 28144

Mailing address

PO Box 947
1416 S Martin Luther King Jr.
Salisbury, NC 28145-0947
Phone (704) 637-2870

Other identifiers 1

IdentifierTypeStateIssuer
3408548MedicaidNC

Other names 1

  • Trinity Living Center Doing business as

National Provider Directory

National Provider Directory

Locations

1416 S Martin Luther King Jr Ave
Ste A
Salisbury, NC 28144
Phone (704) 637-3940

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1689753568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "address_2": "1416 S MARTIN LUTHER KING JR.",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281450947",
            "telephone_number": "704-637-2870",
            "fax_number": "704-637-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 S MARTIN LUTHER KING JR AVE STE A",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "28144",
            "telephone_number": "704-637-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIVING ADULT DAY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN SERVICE OF THE AGING",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KESHA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "704-754-8222"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NC",
            "license": "3408548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408548",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.