NPIMap

Organization Active NPI

University of North Carolina at Chapel Hill

Doing business as CLLC (Carolina Living & Learning Center)

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Pittsboro, NC
National Provider Identifier
1881782548
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL019007 Issued in NC
Legal business name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Doing business as
CLLC (Carolina Living & Learning Center)
Practice address
325 Russet Run
Pittsboro, NC 27312-5000
Phone
(919) 542-1910
Fax
(919) 542-0978
NPI assigned
Oct 10, 2006
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Richard L. Mann
Title
Vice Chancellor Finance & Admin
Phone
(919) 962-3798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL019007 NC Primary

Addresses

Primary practice location

325 Russet Run
Pittsboro, NC 27312-5000

Mailing address

325 Russet Run
Pittsboro, NC 27312-5000
Phone (919) 542-1910

Other identifiers 6

IdentifierTypeStateIssuer
3406187MedicaidNC
921564MedicaidNC
27G.5600COtherNCSRVCS-SPVLIVDDADLT ICF-MR
GM4OtherNCDSS FACILITY CODE
27G.2300OtherNCSERVICE CODE-ADVP ICF/MR
MHL-019-007OtherNCLICENSE NUMBER

Other names 1

  • CLLC (Carolina Living & Learning Center) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881782548. Details of each certification follow.

  • CCN 34G159 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 34G159

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CAROLINA LIVING AND LEARNING CENTER (CLLC)
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Nov 16, 1990
Last certification
Jan 7, 2026
Beds
15
Ownership / control type
State
Most recent change of ownership
Apr 12, 2016
Facility address
325 Russet Run
Pittsboro, NC 27312

National Provider Directory

National Provider Directory
Tax ID family
Center for Maternal Infant Health30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

325 Russet Run
Pittsboro, NC 27312
Phone (919) 542-1910

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1881782548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 RUSSET RUN",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273125000",
            "telephone_number": "919-542-1910",
            "fax_number": "919-542-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 RUSSET RUN",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273125000",
            "telephone_number": "919-542-1910",
            "fax_number": "919-542-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE CHANCELLOR FINANCE & ADMIN",
        "authorized_official_telephone_number": "919-962-3798",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL019007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406187",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "921564",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SRVCS-SPVLIVDDADLT ICF-MR",
            "identifier": "27G.5600C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSS FACILITY CODE",
            "identifier": "GM4",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SERVICE CODE-ADVP ICF/MR",
            "identifier": "27G.2300",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MHL-019-007",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLLC (Carolina Living & Learning Center)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsboro, NC

Sources for this page

Verify at the official NPI Registry.