NPIMap

Organization Active NPI

Assisted Lifestyle, Inc.

  • In Home Supportive Care Agency
  • Mooresville, NC
National Provider Identifier
1952709495
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC2245 Issued in NC
Legal business name
ASSISTED LIFESTYLE, INC.
Doing business as
Assisted Lifestyle Homecare
Practice address
470 N Broad St
Suite E
Mooresville, NC 28115-3083
Phone
(704) 662-9911
Fax
(704) 662-9080
NPI assigned
Dec 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Tammy Allen
Title
Director
Phone
(704) 662-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC2245 NC Primary

Addresses

Primary practice location

470 N Broad St
Suite E
Mooresville, NC 28115-3083

Mailing address

470 N Broad St
Suite E
Mooresville, NC 28115-3083
Phone (704) 662-9911

Other names 1

  • Assisted Lifestyle Homecare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Assisted Lifestyle Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1952709495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 N BROAD ST",
            "address_2": "SUITE E",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153083",
            "telephone_number": "704-662-9911",
            "fax_number": "704-662-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 N BROAD ST",
            "address_2": "SUITE E",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153083",
            "telephone_number": "704-662-9911",
            "fax_number": "704-662-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIFESTYLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-662-9911"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC2245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisted Lifestyle Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.