Prime Care One, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-060-019 Issued in NC

Legal business name

PRIME CARE ONE, LLC

Doing business as

Brighton Gardens of Charlotte

Practice address

6000 Park Avesouth
Charlotte, NC 28210

Phone

(704) 643-1400

NPI assigned

Jan 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

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

Executive Director

Phone

(704) 643-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brighton Gardens of Charlotte Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Brighten Gardens of Raleigh5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Prime Care One LLC

  dba Brighten Gardens of Raleigh

  • Assisted Living Facility
  • Raleigh, NC
  • NPI 1063705382
  NPD tax ID
• Prime Care One LLC

  dba Brighten Gardens of Winston-Salem

  • Assisted Living Facility
  • Winston Salem, NC
  • NPI 1811230279
  NPD tax ID
• Prime Care One, LLC

  dba Brighton Gardens of Middletown

  • Assisted Living Facility
  • Middletown, NJ
  • NPI 1265586549
  NPD tax ID
• Prime Care One, LLC

  dba Brighton Gardens of Mountainside

  • Assisted Living Facility
  • Mountainside, NJ
  • NPI 1831243120
  NPD tax ID

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912052622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 PARK AVE SOUTH",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28210",
            "telephone_number": "704-643-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 PARK AVESOUTH",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28210",
            "telephone_number": "704-643-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE ONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-643-1400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-060-019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804059",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Gardens of Charlotte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prime Health Medical Clinic, PA
• Sydney Partin Primis, MD
• Ciara Cheyenne Primo
• Sonya Medlin Primo, PTA
• Primus Therapy Services, PLLC

• 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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.