Active NPI
Assisted Lifestyle, Inc.
- In Home Supportive Care Agency
- Mooresville, NC
National Provider Identifier
1710282348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ASSISTED LIFESTYLE, INC.
- Practice address
- 470 N Broad St
Suite E
Mooresville, NC 28115-3083 - Phone
- (704) 662-9911
- NPI assigned
- Jan 12, 2011
- 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
- Michael Allen
- Title
- President
- Phone
- (704) 662-9911
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Personal Care Attendant | 3747P1801X | HC2245 | NC |
Addresses
Primary practice location
470 N Broad St
Suite E
Mooresville, NC 28115-3083
Mailing address
470 N Broad St
Suite E
Mooresville, NC 28115-3083
National Provider Directory
National Provider Directory- Tax ID family
- Assisted Lifestyle Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Mooresville, NC
- NPI 1659681104
-
- In Home Supportive Care Agency
- Mooresville, NC
- NPI 1952709495
Locations
470 N Broad St
Ste E
Mooresville, NC 28115
Phone (704) 662-9911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670284800000",
"number": "1710282348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 N BROAD ST",
"address_2": "SUITE E",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281153083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 N BROAD ST",
"address_2": "SUITE E",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281153083",
"telephone_number": "704-662-9911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSISTED LIFESTYLE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-12",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-662-9911"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "NC",
"license": "HC2245",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.