SOUTHERN LIVING FOR SENIORS OF OXFORD
NPI 1922594290
Assisted Living Facility in Oxford, NC

Active since July 10, 2018
904 RALEIGH ST, OXFORD, NC 27565(919) 693-2123 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About SOUTHERN LIVING FOR SENIORS OF OXFORD

This page provides the complete NPI Profile along with additional information for Southern Living For Seniors Of Oxford, a provider established in Oxford, North Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1922594290 assigned on July 2018. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Southern Living For Seniors Of Oxford. The authorized official of this NPI record is Kenneth Mark Simons (Managing Member)

NPI
1922594290 Verify this NPI
Provider Legal Name
SOUTHERN LIVING FOR SENIORS OF OXFORD NC LLC
Other Organization Name
SOUTHERN LIVING FOR SENIORS OF OXFORD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
904 RALEIGH ST OXFORD, NC 27565
Location Phone
(919) 693-2123
Mailing Address
904 RALEIGH ST OXFORD, NC 27565
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2018
Last Update Date
07-10-2018
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

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

KENNETH MARK SIMONS

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(470) 551-2006

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Assisted Living Facility
904 RALEIGH ST
OXFORD, NC 27565
Custodial Care Facility (Adult Care Home)
904 RALEIGH ST
OXFORD, NC 27565
Custodial Care Facility (Adult Care Home)
904 RALEIGH ST
OXFORD, NC 27565

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922594290, enumerated as an "organization" on July 10, 2018.

The provider is located at 904 RALEIGH ST OXFORD, NC 27565 and the phone number is (919) 693-2123.

Assisted Living Facility with taxonomy code 310400000X.