ST ANDREWS LIVING CENTER INC
NPI 1588779052
Assisted Living Facility in Concord, NC

Active since August 21, 2006CLIA 34D2022802 · Waiver
246 CABARRUS AVE W, CONCORD, NC 28025(704) 788-1018 Get Directions Write a Review

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

About St Andrews Living Center Inc NPPES

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

ST ANDREWS LIVING CENTER INC (NPI 1588779052) is a healthcare organization registered as an assisted living facility in Concord, North Carolina and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Robert E Underwood, Owner, as its authorized official.

NPPES Registry Identity

NPI1588779052
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameST ANDREWS LIVING CENTER INC
Location Address246 CABARRUS AVE WConcord, NC 28025-5152
Mailing AddressPo Box 143Concord, NC 28026-0143 · (704) 788-1018
Organization SubpartNo
Authorized OfficialRobert E UnderwoodOwner · (704) 788-1018
Enumeration DateAugust 21, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1588779052 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 · HAL-013-006
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.
246 CABARRUS AVE W, Concord, NC 28025

Other Identifiers 1

Medicaid7801828NC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2022802

St Andrew's Living Center, Inc · Concord, NC
Active · expires Apr 10, 2027
CLIA Number34D2022802
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorLaura Carbenia
Laboratory Phone(704) 788-1018
Laboratory LocationSt Andrew's Living Center, Inc246 Cabarrus Ave W, Concord, NC 28025
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 St Andrews Living Center Inc's NPI number?

The NPI number for St Andrews Living Center Inc is 1588779052. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is St Andrews Living Center Inc located?

St Andrews Living Center Inc is located at 246 Cabarrus Ave W, Concord, NC 28025. The listed phone number is (704) 788-1018.

What is St Andrews Living Center Inc's specialty?

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

Does St Andrews Living Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2022802) is associated with this NPI, valid through April 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St Andrews Living Center 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.