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KANNON CREEK ASSISTED LIVING
NPI 1174567531
Custodial Care Facility - Adult Care Home in Kannapolis, NC

Active since June 16, 2006
1808 N CANNON BLVD, KANNAPOLIS, NC 28083(704) 932-5517(704) 932-1200 Get Directions Write a Review

NPPES record last updated: April 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kannon Creek Assisted Living NPPES

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

KANNON CREEK ASSISTED LIVING (NPI 1174567531) is a healthcare organization registered as an adult care home in Kannapolis, North Carolina and active in the NPI registry since June 2006. The organization lists Karen G Mcdaniel, President, as its authorized official.

NPPES Registry Identity

NPI1174567531
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameGRANITE FALLS LTC, LLC
Location Address1808 N CANNON BLVDKannapolis, NC 28083-2670
Mailing Address1808 N Cannon BlvdKannapolis, NC 28083-2670 · (704) 932-5517 · Fax (704) 932-1200
Phone(704) 932-5517
Fax(704) 932-1200
Organization SubpartNo
Authorized OfficialKaren G McdanielPresident · (252) 523-9094
Enumeration DateJune 16, 2006
Last NPPES UpdateApril 7, 2017
✔ NPI 1174567531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NC · HAL080003
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
1808 N CANNON BLVD, Kannapolis, NC 28083
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Other Names 1

Doing Business AsKannon Creek Assisted Living

Other Identifiers 1

Medicaid7806637NC

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 Granite Falls Ltc, LLC's NPI number?

The NPI number for Granite Falls Ltc, LLC is 1174567531. It was assigned to this organization in the NPPES registry on June 16, 2006. The provider is doing business as Kannon Creek Assisted Living.

Where is Granite Falls Ltc, LLC located?

Granite Falls Ltc, LLC is located at 1808 N Cannon Blvd, Kannapolis, NC 28083. The listed phone number is (704) 932-5517.

What is Granite Falls Ltc, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Granite Falls Ltc, LLC was last updated on April 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.