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

Q: What is Sh1 Carmel Opco LLC's NPI number?

The NPI number for Sh1 Carmel Opco LLC is 1215691464. It was assigned to this organization in the NPPES registry on October 25, 2021. The provider is doing business as The Pines On Carmel Senior Living.

Q: What is Sh1 Carmel Opco LLC's specialty?

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

Active since October 25, 2021

5820 CARMEL RD, CHARLOTTE, NC 28226(704) 544-4979(704) 540-7883 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About The Pines On Carmel Senior Living NPPES

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

THE PINES ON CARMEL SENIOR LIVING (NPI 1215691464) is a healthcare organization registered as an adult care home in Charlotte, North Carolina and active in the NPI registry since October 2021. The organization lists Terri Baker, Finance And Licensing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1215691464

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameSH1 CARMEL OPCO LLC

Location Address5820 CARMEL RDCharlotte, NC 28226-8106

Mailing Address5101 Ne 82nd Ave Ste 200Vancouver, WA 98662-6343 · (360) 254-9442 · Fax (360) 254-1770

Phone(704) 544-4979

Fax(704) 540-7883

Organization SubpartNo

Authorized OfficialTerri BakerFinance And Licensing Coordinator · (503) 998-5810

Enumeration DateOctober 25, 2021

Last NPPES UpdateDecember 8, 2021

NPPES CertifiedDecember 8, 2021

✔ NPI 1215691464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

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.

Also ListedAssisted Living FacilityTaxonomy 310400000X

5820 CARMEL RD, Charlotte, NC 28226

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Other Names 1

Doing Business AsThe Pines On Carmel Senior Living

Other Identifiers 2

MedicaidTBDNC

MedicaidPE-EHE5B2A5KNC

Other Providers at the Same Location NPPES 12

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

JANINE RUST

Physical Therapy Assistant