Carillon Assisted Living of Fuquay Varina II

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CARILLON ASSISTED LIVING OF FUQUAY VARINA II

Practice address

1121 E Academy St
Fuquay Varina, NC 27526-2606

Phone

(919) 808-1007

NPI assigned

Apr 7, 2023

Organization subpart

No

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

Authorized official

Name

Karen Moriarty

Title

Ceo

Phone

(919) 852-4000

Specialties & licenses 1

Addresses

Other names 1

• Calyx Living of Fuquay Varina Doing business as

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1821783697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 WATERS EDGE DR STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062464",
            "telephone_number": "919-852-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E ACADEMY ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262606",
            "telephone_number": "919-808-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILLON ASSISTED LIVING OF FUQUAY VARINA II",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "MORIARTY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-852-4000"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calyx Living of Fuquay Varina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Capitol City Speech Therapy
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• Carefirst Urgent Care PC
• Carenet, Inc.
• Carillon Assisted Living of Fuquay-Varina, LLC
• Katheryn E Carlton, M. ED, BCBA
• Carolina Access Specialists, Inc.
• Carolina Family Foot Care PC
• Carolina Physical Therapy Associates LLC

• All providers in Fuquay Varina, NC
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.