Seniorcare of Conover LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SENIORCARE OF CONOVER LLC

Practice address

3430 Lester St
Conover, NC 28613-9685

Phone

(828) 256-9868

Fax

(828) 256-4971

NPI assigned

May 21, 2021

Organization subpart

No

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

Authorized official

Name

Javed Syed

Title

Co Founder

Phone

(703) 679-7861

Specialties & licenses 1

Addresses

Other names 1

• Heritage Care of Conover Doing business as

Locations

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1982279097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 LESTER ST",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139685",
            "telephone_number": "828-256-9868",
            "fax_number": "828-256-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 LESTER ST",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139685",
            "telephone_number": "828-256-9868",
            "fax_number": "828-256-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORCARE OF CONOVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "JAVED",
        "authorized_official_title_or_position": "CO FOUNDER",
        "authorized_official_telephone_number": "703-679-7861"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Care of Conover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Aiezza DMD PLLC
• Edward Ray Scott II, D.D.S.
• Jeanine Theresa Scott, P.T.
• Karen Hartman Self, FNP-C
• Paris A. R. Sellers, PA-C
• Charlotte Frye Sharpe, M.A., MFT ASSOCIATE
• Amanda Elizabeth Shaver, LCMHC
• Elizabeth Edwards Sheeks, RD, MS, LDN
• Sheffield and Blank, DMD, PLLC
• Nicole W Sherrill, MSW, LCSWA

• Adult Care Home Facility in Conover, NC
• Providers in Conover, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.