Organization Active NPI

Carolinas Alliance for Residential Excellence Holdings, LLC

  • Assisted Living Facility
  • Elkin, NC
National Provider Identifier
1902440118
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Oct 30, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.