THE PINES ON CARMEL SENIOR LIVING
NPI 1215691464
Custodial Care Facility - Adult Care Home in Charlotte, NC

NPI Status: Active since October 25, 2021

Contact Information

5820 CARMEL RD
CHARLOTTE, NC
ZIP 28226
Phone: (704) 544-4979
Fax: (704) 540-7883

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Custodial Care Facility
Adult Care Home

About THE PINES ON CARMEL SENIOR LIVING

This page provides the complete NPI Profile along with additional information for The Pines On Carmel Senior Living, a provider established in Charlotte, North Carolina operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1215691464 assigned on October 2021. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as The Pines On Carmel Senior Living. The authorized official of this NPI record is Ms. Terri Baker (Finance And Licensing Coordinator)

NPI: 1215691464
Provider Legal Name: SH1 CARMEL OPCO LLC
Other Organization Name: THE PINES ON CARMEL SENIOR LIVING
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 5820 CARMEL RD CHARLOTTE, NC 28226
Location Phone: (704) 544-4979
Location Fax: (704) 540-7883
Mailing Address: 5101 NE 82ND AVE STE 200 VANCOUVER, WA 98662
Mailing Phone: (360) 254-9442
Mailing Fax: (704) 540-7883
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-25-2021
Last Update Date: 12-08-2021
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Custodial Care Facility Adult Care Home
Taxonomy Code: 311ZA0620X
Type: Nursing & Custodial Care Facilities
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	310400000X	Nursing & Custodial Care Facilities	Assisted Living Facility

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MS. TERRI BAKER
Authorized Official Title: FINANCE AND LICENSING COORDINATOR
Authorized Official Phone: (503) 998-5810

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
TBD	MEDICAID (05)	NC
PE-EHE5B2A5K	MEDICAID (05)	NC

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	1	5	6	9	1	4	6	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	2	5	12	9	2	4	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 2 + 9 + 2 + 4 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4									4

The NPI number 1215691464 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.