Aurora of Statesville, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL049028 Issued in NC

Legal business name

AURORA OF STATESVILLE, LLC

Practice address

1902 Ora Dr
Statesville, NC 28625-6343

Phone

(704) 878-6376

Fax

(704) 878-6787

NPI assigned

Oct 6, 2009

Last updated

Nov 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda K Peterson

Title

Member Manager

Phone

(704) 502-3210

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1720313976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 W 4TH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012502",
            "telephone_number": "336-722-8012",
            "fax_number": "336-722-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 ORA DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286256343",
            "telephone_number": "704-878-6376",
            "fax_number": "704-878-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA OF STATESVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "704-502-3210"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL049028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Statesville, NC
• Providers in Statesville, 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 Nov 17, 2009; 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.