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SHALLOTTE ASSISTED LIVING
NPI 1467590042
Custodial Care Facility - Adult Care Home in Shallotte, NC

Active since February 03, 2007
520 MULBERRY ST, SHALLOTTE, NC 28470(910) 754-6621 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shallotte Assisted Living NPPES

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

SHALLOTTE ASSISTED LIVING (NPI 1467590042) is a healthcare organization registered as an adult care home in Shallotte, North Carolina and active in the NPI registry since February 2007. The organization lists David B Goldston, President, as its authorized official.

NPPES Registry Identity

NPI1467590042
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameWATERSIDE HEALTHCARE INC.
Location Address520 MULBERRY STShallotte, NC 28470-4586
Mailing AddressPo Box 1559Shallotte, NC 28459-1559 · (910) 754-6621
Phone(910) 754-6621
Organization SubpartNo
Authorized OfficialDavid B GoldstonPresident · (910) 754-6621
Enumeration DateFebruary 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1467590042 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 · HAL-010-004
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.
520 MULBERRY ST, Shallotte, NC 28470
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Other Names 1

Doing Business AsShallotte Assisted Living

Other Identifiers 1

Medicaid7805372NC

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 Waterside Healthcare Inc.'s NPI number?

The NPI number for Waterside Healthcare Inc. is 1467590042. It was assigned to this organization in the NPPES registry on February 3, 2007. The provider is doing business as Shallotte Assisted Living.

Where is Waterside Healthcare Inc. located?

Waterside Healthcare Inc. is located at 520 Mulberry St, Shallotte, NC 28470. The listed phone number is (910) 754-6621.

What is Waterside Healthcare Inc.'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 Waterside Healthcare Inc. 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.