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WILLOW RIDGE ASSISTED LIVING
NPI 1215063441
Assisted Living Facility in Charlotte, NC

Active since February 23, 2007
2140 MILTON RD, CHARLOTTE, NC 28215(704) 563-7650(704) 535-6950 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Willow Ridge Assisted Living NPPES

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

WILLOW RIDGE ASSISTED LIVING (NPI 1215063441) is a healthcare organization registered as an assisted living facility in Charlotte, North Carolina and active in the NPI registry since February 2007. The organization lists Kenneth Hodges, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1215063441
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWILLOW RIDGE ASSISTED LIVING LLC
Location Address2140 MILTON RDCharlotte, NC 28215-3319
Mailing Address2140 Milton RdCharlotte, NC 28215-3319 · (704) 563-7650 · Fax (704) 535-6950
Phone(704) 563-7650
Fax(704) 535-6950
Organization SubpartNo
Authorized OfficialKenneth HodgesMember Manager · (828) 738-3046
Enumeration DateFebruary 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215063441 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 · HAL060070
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.
2140 MILTON RD, Charlotte, NC 28215
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Other Names 1

Doing Business AsWillow Ridge Assisted Living

Other Identifiers 1

Medicaid7805586NC

Other Providers at the Same Location NPPES

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

CHARLOTTE HEALTH HOLDINGS, LLC
Custodial Care Facility (Adult Care Home)
2140 MILTON RD
CHARLOTTE, NC 28215
Mecklenburg County (704) 563-7650

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 Willow Ridge Assisted Living LLC's NPI number?

The NPI number for Willow Ridge Assisted Living LLC is 1215063441. It was assigned to this organization in the NPPES registry on February 23, 2007. The provider is doing business as Willow Ridge Assisted Living.

Where is Willow Ridge Assisted Living LLC located?

Willow Ridge Assisted Living LLC is located at 2140 Milton Rd, Charlotte, NC 28215. The listed phone number is (704) 563-7650.

What is Willow Ridge Assisted Living LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Willow Ridge Assisted Living LLC 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 6 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.