Organization Active NPI

North Charleston Assisted Living, LLC

  • Assisted Living Facility
  • North Charleston, SC
National Provider Identifier
1699398396
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NORTH CHARLESTON ASSISTED LIVING, LLC
Practice address
4550 Great Oak Dr
North Charleston, SC 29418-5001
Phone
(843) 760-0831
NPI assigned
May 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Grady Odom
Title
Owner
Phone
(843) 760-0831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4550 Great Oak Dr
North Charleston, SC 29418-5001

Mailing address

4550 Great Oak Dr
North Charleston, SC 29418-5001
Phone (843) 760-0831

Other names 1

  • Ashley Landing Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1699398396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 GREAT OAK DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294185001",
            "telephone_number": "843-760-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 GREAT OAK DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294185001",
            "telephone_number": "843-760-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CHARLESTON ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "GRADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-760-0831"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley Landing Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.