PORT SOUTH VILLAGE
NPI 1679770317
Assisted Living Facility in Wilmington, NC

Q: What is Senior Management Inc's NPI number?

The NPI number for Senior Management Inc is 1679770317. It was assigned to this organization in the NPPES registry on June 27, 2007. The provider is doing business as Port South Village.

Q: What is Senior Management Inc's specialty?

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

Active since June 27, 2007

210 COVIL AVE, WILMINGTON, NC 28403(910) 814-1223(910) 814-1223 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Port South Village NPPES

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

PORT SOUTH VILLAGE (NPI 1679770317) is a healthcare organization registered as an assisted living facility in Wilmington, North Carolina and active in the NPI registry since June 2007. The organization lists Rhonda Lockamy, Secretary, as its authorized official.

NPPES Registry Identity

NPI1679770317

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSENIOR MANAGEMENT INC

Location Address210 COVIL AVEWilmington, NC 28403-0711

Mailing AddressPo Box 4669Wilmington, NC 28406-1669 · (910) 814-1223 · Fax (910) 814-1223

Phone(910) 814-1223

Fax(910) 814-1223

Organization SubpartNo

Authorized OfficialRhonda LockamySecretary · (910) 814-1223

Enumeration DateJune 27, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1679770317 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-065-025

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.

210 COVIL AVE, Wilmington, NC 28403

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Other Names 1

Doing Business AsPort South Village

Other Identifiers 6

MedicaidHAL-065-028NC

MedicaidHAL-065-027NC

MedicaidHAL-065-031NC

MedicaidHAL-065-025NC

MedicaidHAL-065-026NC

MedicaidHAL-065-029NC

Other Providers at the Same Location NPPES 6

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

SENIOR MANAGEMENT INC

Assisted Living Facility