Active NPI
North Charleston Assisted Living, LLC
- Assisted Living Facility
- North Charleston, SC
National Provider Identifier
1699398396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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
- Norman L. Bishop, D.C.
- Jamie Norman, BCBA
- Elaine Norris-Mulligan, MA, CCC-SLP
- Anna Caroline Norris, DMD
- North Area Anesthesia Services, PA
- North Charleston Dental Associates, LLC
- North Charleston Dental Outreach
- North Palm Counseling Center, LLC
- North Rivers Dental Assoc Inc
- Maureen Murphy North, PA-C
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.