Organization Active NPI

Caremoor Retirement Center Inc

  • Assisted Living Facility
  • Kannapolis, NC
National Provider Identifier
1972641298
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL013007 Issued in NC
Legal business name
CAREMOOR RETIREMENT CENTER INC
Practice address
4876 Boy Scout Camp Road
Kannapolis, NC 28081-8494
Phone
(704) 938-2927
Fax
(704) 933-7522
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Teresa Overcash Kincaid
Title
Co Owner
Phone
(704) 938-2927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL013007 NC Primary

Addresses

Primary practice location

4876 Boy Scout Camp Road
Kannapolis, NC 28081-8494

Mailing address

4876 Boy Scout Camp Road
Kannapolis, NC 28081-8494
Phone (704) 938-2927

Other identifiers 1

IdentifierTypeStateIssuer
7801921MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972641298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4876 BOY SCOUT CAMP ROAD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280818494",
            "telephone_number": "704-938-2927",
            "fax_number": "704-933-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4876 BOY SCOUT CAMP ROAD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280818494",
            "telephone_number": "704-938-2927",
            "fax_number": "704-933-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMOOR RETIREMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "OVERCASH",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "704-938-2927",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL013007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801921",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.