Organization Active NPI

TTB Enterprises, LLC

  • Assisted Living Facility
  • Mooresville, NC
National Provider Identifier
1750415014
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TTB ENTERPRISES, LLC
Practice address
291 Commercial Dr
Mooresville, NC 28115
Phone
(704) 663-7600
Fax
(704) 663-2881
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Amy Hart
Title
Administrator
Phone
(704) 663-7600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-049-010 NC
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

291 Commercial Dr
Mooresville, NC 28115

Mailing address

P.O. Box 598
Mooresville, NC 28115
Phone (704) 663-7600

Other identifiers 1

IdentifierTypeStateIssuer
7803201MedicaidNC

Other names 1

  • Crown Colony Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2016301Crown Colony291 Commercial Dr, Mooresville, NC 28115Certificate of waiverNov 15, 2026

National Provider Directory

National Provider Directory

Locations

291 Commercial Dr
Mooresville, NC 28115
Phone (704) 663-7600

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1750415014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 598",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28115",
            "telephone_number": "704-663-7600",
            "fax_number": "704-663-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 COMMERCIAL DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28115",
            "telephone_number": "704-663-7600",
            "fax_number": "704-663-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TTB ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-663-7600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-049-010",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803201",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Colony",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.