Southern Living for Seniors of Oxford NC LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SOUTHERN LIVING FOR SENIORS OF OXFORD NC LLC

Practice address

904 Raleigh St
Oxford, NC 27565-3744

Phone

(919) 693-2123

NPI assigned

Jul 10, 2018

Organization subpart

No

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

Authorized official

Name

Kenneth Mark Simons

Title

Managing Member

Phone

(470) 551-2006

Specialties & licenses 1

Addresses

Other names 1

• Southern Living for Seniors of Oxford Doing business as

Locations

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1922594290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 RALEIGH ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 RALEIGH ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653744",
            "telephone_number": "919-693-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN LIVING FOR SENIORS OF OXFORD NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "470-551-2006"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Living for Seniors of Oxford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Sneed, PERFECT CHOICE HC
• Marcella C. Sockwell, DDS
• Sidney W. Sockwell, DDS
• William J Soffera, PHARMD, RPH
• David Lambert Solomon III, DPT
• Donna Bryan Spears, DDS
• Shanna R Sprinkle, MD, MPH
• States Medical Products, LLC
• Colby Lee Stevens, PT
• Amy Marie Still, LCSW

• Assisted Living Facility in Oxford, NC
• Providers in Oxford, 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 Jul 10, 2018; 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.