First Assembly Living Center

LBN: First Assembly Living Center
First Assembly Living Center is an health care organization with primary practice located at 160 Warren C Coleman Blvd N , Concord NC 28027-6786. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. First Assembly Living Center can be contacted via phone (704) 793-4760, or through Robinson, Hazel Mcclure via phone (704) 793-4760.

Contact Information

Primary practice address
160 Warren C Coleman Blvd N Concord NC 28027-6786
Phone: (704) 793-4760
Fax: (704) 793-4764
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Hazel Mcclure
Phone: (704) 793-4760

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL-013-000 North Carolina

Profile Details

NPI number 1114063559
LBN Legal business name First Assembly Living Center
DBA Doing business as
Authorized official Robinson, Hazel Mcclure
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114063559 NPPES
North Carolina MEDICAID 7801009

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