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MORNINGSIDE OF RALEIGH
NPI 1063450682
Assisted Living Facility in Raleigh, NC

Active since June 04, 2006CLIA 34D1036239 · Waiver
801 DIXIE TRL, RALEIGH, NC 27607(919) 828-5557(919) 828-7252 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Morningside Of Raleigh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MORNINGSIDE OF RALEIGH (NPI 1063450682) is a healthcare organization registered as an assisted living facility in Raleigh, North Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Bruce J Mackey, President & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1063450682
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMORNINGSIDE OF RALEIGH, LLC
Location Address801 DIXIE TRLRaleigh, NC 27607-4156
Mailing Address400 Centre StNewton, MA 02458-2094 · (617) 796-8387 · Fax (617) 796-8385
Phone(919) 828-5557
Fax(919) 828-7252
Organization SubpartYes
Authorized OfficialBruce J MackeyPresident & Chief Executive Officer · (617) 796-8214
Enumeration DateJune 4, 2006
Last NPPES UpdateJune 27, 2016
✔ NPI 1063450682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · HAL-041-052
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

801 DIXIE TRL, Raleigh, NC 27607
Open in Google Maps ↗

Other Names 1

Doing Business AsMorningside Of Raleigh

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1036239

Morningside Of Raleigh · Raleigh, NC
Active · expires Jan 24, 2027
CLIA Number34D1036239
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorPia Williams
Laboratory Phone(919) 828-5557
Laboratory LocationMorningside Of Raleigh801 Dixie Trail, Raleigh, NC 27607
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SNH NC TENANT LLC
Assisted Living Facility
801 DIXIE TRL
RALEIGH, NC 27607
Wake County (919) 828-5557
TRACEY SANDNES PTA
Physical Therapy Assistant
801 DIXIE TRL
RALEIGH, NC 27607
Wake County (919) 828-5557
THERESA JOYCE KIENLE PT
Physical Therapist
801 DIXIE TRL
RALEIGH, NC 27607
Wake County (919) 828-5557

Frequently Asked Questions

What is MORNINGSIDE OF RALEIGH, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1063450682, enumerated as an "organization" on June 04, 2006.

Where is the provider located?

The provider is located at 801 DIXIE TRL RALEIGH, NC 27607 and the phone number is (919) 828-5557.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.