Organization Active NPI

Helton Manor West Assisted Living

  • Assisted Living Facility
  • Charlotte, NC
National Provider Identifier
1891906194
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL 060-074 Issued in NC
Legal business name
HELTON MANOR WEST ASSISTED LIVING
Practice address
1700 Montana Dr
Charlotte, NC 28216-3604
Phone
(704) 393-2870
Fax
(704) 393-3476
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Harriett Platt Mendinghall
Title
Administrator
Phone
(704) 393-2870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL 060-074 NC Primary

Addresses

Primary practice location

1700 Montana Dr
Charlotte, NC 28216-3604

Mailing address

1700 Montana Dr
Charlotte, NC 28216-3604
Phone (704) 393-2870

Other identifiers 1

IdentifierTypeStateIssuer
7805203MedicaidNC

National Provider Directory

National Provider Directory

Locations

1700 Montana Dr
Charlotte, NC 28216
Phone (704) 393-2824

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891906194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MONTANA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163604",
            "telephone_number": "704-393-2870",
            "fax_number": "704-393-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MONTANA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163604",
            "telephone_number": "704-393-2870",
            "fax_number": "704-393-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELTON MANOR WEST ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENDINGHALL",
        "authorized_official_first_name": "HARRIETT",
        "authorized_official_middle_name": "PLATT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-393-2870",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL 060-074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805203",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.