SH Charlotte Regency Leasing LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-060-139 Issued in NC

Legal business name

SH CHARLOTTE REGENCY LEASING LLC

Doing business as

Regency Retirement Village

Practice address

9120 Willow Ridge Rd
Charlotte, NC 28210-8313

Phone

(704) 542-9449

Fax

(704) 542-0776

NPI assigned

Aug 27, 2009

Organization subpart

No

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

Authorized official

Name

Christopher Terry

Title

Regional Director

Phone

(704) 542-9449

Specialties & licenses 1

Addresses

Other names 1

• Regency Retirement Village Doing business as

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1851524698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9120 WILLOW RIDGE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108313",
            "telephone_number": "704-542-9449",
            "fax_number": "704-542-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 WILLOW RIDGE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108313",
            "telephone_number": "704-542-9449",
            "fax_number": "704-542-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH CHARLOTTE REGENCY LEASING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "704-542-9449"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-060-139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Retirement Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kylie Alexandra Seymour
• Lisa Seymour, MS, OTD, OTR
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• Samuel Blake Seymour
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• Mariam Shaat, LCMHC-A
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• Kristen L.M. Shaben
• Sarah Shackelford, RDN

• Assisted Living Facility in Charlotte, NC
• Providers in Charlotte, 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 Aug 27, 2015; 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.