CHURCHILL SENIOR LIVING
NPI 1972837631
Assisted Living Facility in Mooresville, NC
- Organization
- Assisted Living Facility
About CHURCHILL SENIOR LIVING
This page provides the complete NPI Profile along with additional information for Churchill Senior Living, a provider established in Mooresville, North Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1972837631 assigned on September 2009. The practitioner's primary taxonomy code is 310400000X with license number HAL-049-025 (NC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Churchill Senior Living. The authorized official of this NPI record is Shirley Dunn (Cro Representative)
- NPI
- 1972837631 Verify this NPI
- Provider Legal Name
- MOORESVILLE SENIOR LIVING, LLC
- Other Organization Name
- CHURCHILL SENIOR LIVING
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 140 CARRIAGE CLUB DR MOORESVILLE, NC 28117
- Location Phone
- (704) 658-1200
- Location Fax
- (503) 485-1279
- Mailing Address
- 3723 FAIRVIEW INDUSTRIAL DR SE SALEM, OR 97302
- Mailing Phone
- (503) 375-9016
- Mailing Fax
- (503) 485-1279
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-29-2009
- Last Update Date
- 09-29-2009
- Code Navigator
Location Map
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
- License No.
- HAL-049-025
- License State
- NC
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 311500000X | Nursing & Custodial Care Facilities | Alzheimer Center (Dementia Center) | HAL-049-025 (NC) |
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Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
MOORESVILLE, NC 28117
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972837631, enumerated as an "organization" on September 29, 2009.
The provider is located at 140 CARRIAGE CLUB DR MOORESVILLE, NC 28117 and the phone number is (704) 658-1200.
Assisted Living Facility with taxonomy code 310400000X.
