Active NPI
Carolinas Alliance for Residential Excellence Holdings, LLC
- Assisted Living Facility
- Elkin, NC
National Provider Identifier
1902440118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CAROLINAS ALLIANCE FOR RESIDENTIAL EXCELLENCE HOLDINGS, LLC
- Practice address
- 500 Johnson Ridge Rd
Elkin, NC 28621-2420 - Phone
- (855) 677-1188
- Fax
- (855) 677-1189
- NPI assigned
- Oct 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren Ashley Reavis Ware, RN, MSN, MBA
- Title
- Coo
- Phone
- (336) 408-5008
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Adult Care Home Facility | 311ZA0620X |
Addresses
Primary practice location
500 Johnson Ridge Rd
Elkin, NC 28621-2420
Mailing address
430 Pineola St Ste 300
Newland, NC 28657-7603
Phone (855) 677-1188
National Provider Directory
National Provider DirectoryLocations
430 Pineola St
Ste 300
Newland, NC 28657
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Assisted Living Facility
- Elkin, NC
- NPI 1174167381
-
- Adult Care Home Facility
- Star, NC
- NPI 1427639335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572393600000",
"number": "1902440118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 PINEOLA ST STE 300",
"city": "NEWLAND",
"state": "NC",
"postal_code": "286577603",
"telephone_number": "855-677-1188",
"fax_number": "855-677-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 JOHNSON RIDGE RD",
"city": "ELKIN",
"state": "NC",
"postal_code": "286212420",
"telephone_number": "855-677-1188",
"fax_number": "855-677-1189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINAS ALLIANCE FOR RESIDENTIAL EXCELLENCE HOLDINGS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-30",
"last_updated": "2019-10-30",
"status": "A",
"authorized_official_last_name": "REAVIS WARE",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "ASHLEY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "336-408-5008",
"authorized_official_credential": "RN, MSN, MBA"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkin, NC
- Carenet, Inc.
- Carenet, Inc.
- Carolina Residential Services, Inc.
- Carolina Select Home Care, LLC.
- Carolinas Alliance for Residential Excellence - Elkin LLC
- Brandi Kay Carter, FNP-BC
- Stephanie Johnson Cartwright, O.D.
- Alvaro A Castillejo, D.O.
- Allison Ruppard Caudill, RD
- Charlotte Eye Ear Nose & Throat Associates, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.