1. Home
  2. Directory
  3. North Carolina
  4. Concord
  5. Assisted Living Facility
  6. NPI Profile

FIRST ASSEMBLY LIVING CENTER
NPI 1114063559
Assisted Living Facility in Concord, NC

Active since January 30, 2007CLIA 34D2018217 · Waiver
160 WARREN C COLEMAN BLVD N, CONCORD, NC 28027(704) 793-4760(704) 793-4764 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About First Assembly Living Center NPPES

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

FIRST ASSEMBLY LIVING CENTER (NPI 1114063559) is a healthcare organization registered as an assisted living facility in Concord, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through December 28, 2026 and lists Hazel Mcclure Robinson, Pcs Coordinator, as its authorized official.

NPPES Registry Identity

NPI1114063559
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFIRST ASSEMBLY LIVING CENTER
Location Address160 WARREN C COLEMAN BLVD NConcord, NC 28027-6786
Mailing Address160 Warren C Coleman Blvd NConcord, NC 28027-6786 · (704) 793-4760 · Fax (704) 793-4764
Phone(704) 793-4760
Fax(704) 793-4764
Organization SubpartNo
Authorized OfficialHazel Mcclure RobinsonPcs Coordinator · (704) 793-4760
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114063559 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-013-000
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.
160 WARREN C COLEMAN BLVD N, Concord, NC 28027
Open in Google Maps ↗

Other Identifiers 1

Medicaid7801009NC

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 34D2018217

First Assembly Living Center Enterprises, LLC · Concord, NC
Active · expires Dec 28, 2026
CLIA Number34D2018217
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 29, 2024
Certificate Expiration DateDecember 28, 2026
Laboratory DirectorStephanie Rickard
Laboratory Phone(704) 793-4760
Laboratory LocationFirst Assembly Living Center Enterprises, LLC160 Warren C Coleman Blvd, Concord, NC 28025
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MR. ANTHONY BARGER II MS OTR/L
Occupational Therapist
160 WARREN C COLEMAN BLVD N
CONCORD, NC 28027
Cabarrus County (704) 743-4101
MPV ENTERPRISES, LLC
Assisted Living Facility
160 WARREN C COLEMAN BLVD N
CONCORD, NC 28027
Cabarrus County (704) 793-4760
CARLY BOOTH
Physical Therapy Assistant
160 WARREN C COLEMAN BLVD N
CONCORD, NC 28027
Cabarrus County (704) 743-4101
HERITAGE HEALTHCARE, INC
Physical Therapist
160 WARREN C COLEMAN BLVD N
CONCORD, NC 28027
Cabarrus County (704) 743-4101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is First Assembly Living Center's NPI number?

The NPI number for First Assembly Living Center is 1114063559. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is First Assembly Living Center located?

First Assembly Living Center is located at 160 Warren C Coleman Blvd N, Concord, NC 28027. The listed phone number is (704) 793-4760.

What is First Assembly Living Center's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does First Assembly Living Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2018217) is associated with this NPI, valid through December 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for First Assembly Living Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.