PLACE AT SOUTHPARK ASSISTED LIVING AND MEMORY CARE
NPI 1982724100
Assisted Living Facility in Charlotte, NC

Q: What is Southpark Senior Living LLC's NPI number?

The NPI number for Southpark Senior Living LLC is 1982724100. It was assigned to this organization in the NPPES registry on March 30, 2007. The provider is doing business as Place At Southpark Assisted Living And Memory Care.

Q: What is Southpark Senior Living LLC's specialty?

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

Active since March 30, 2007

2101 RUNNYMEDE LN, CHARLOTTE, NC 28209(704) 525-5508(704) 525-2672 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Place At Southpark Assisted Living And Memory Care NPPES

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

PLACE AT SOUTHPARK ASSISTED LIVING AND MEMORY CARE (NPI 1982724100) is a healthcare organization registered as an assisted living facility in Charlotte, North Carolina and active in the NPI registry since March 2007. The organization lists Jon M Harder, Manager, as its authorized official.

NPPES Registry Identity

NPI1982724100

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSOUTHPARK SENIOR LIVING LLC

Location Address2101 RUNNYMEDE LNCharlotte, NC 28209-3316

Mailing AddressPo Box 3006Salem, OR 97302-0006 · (503) 375-9016

Phone(704) 525-5508

Fax(704) 525-2672

Organization SubpartNo

Authorized OfficialJon M HarderManager · (503) 375-9016

Enumeration DateMarch 30, 2007

Last NPPES UpdateJuly 23, 2008

✔ NPI 1982724100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in NC · HAL060076

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.

Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X · License HAL060076 (NC)

2101 RUNNYMEDE LN, Charlotte, NC 28209

Open in Google Maps ↗

Other Names 1

Doing Business AsPlace At Southpark Assisted Living And Memory Care

Other Identifiers 1

Medicaid7805207NC

Other Providers at the Same Location NPPES 2

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

SUMMIT PLACE OF SOUTH PARK

Assisted Living Facility

2101 RUNNYMEDE LN
CHARLOTTE, NC 28209

Mecklenburg County (704) 525-5508

SNH SE TENANT TRS, INC

Assisted Living Facility

2101 RUNNYMEDE LN
CHARLOTTE, NC 28209

Mecklenburg County (704) 525-5508

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 Southpark Senior Living LLC's NPI number?

The NPI number for Southpark Senior Living LLC is 1982724100. It was assigned to this organization in the NPPES registry on March 30, 2007. The provider is doing business as Place At Southpark Assisted Living And Memory Care.

Where is Southpark Senior Living LLC located?

Southpark Senior Living LLC is located at 2101 Runnymede Ln, Charlotte, NC 28209. The listed phone number is (704) 525-5508.

What is Southpark Senior Living LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southpark Senior Living LLC was last updated on July 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.