Kannon Creek Assisted Living

LBN: Granite Falls Ltc, Llc
Kannon Creek Assisted Living is an health care organization with primary practice located at 1808 N Cannon Blvd , Kannapolis NC 28083-2670. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Granite Falls Ltc, Llc can be contacted via phone (704) 932-5517, or through Mcdaniel, Karen G via phone (252) 523-9094.

Contact Information

Primary practice address
1808 N Cannon Blvd Kannapolis NC 28083-2670
Phone: (704) 932-5517
Fax: (704) 932-1200
Website:
Map and Directions
Authorized official contact:
Name: Mcdaniel, Karen G
Phone: (252) 523-9094

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X HAL080003 North Carolina

Profile Details

NPI number 1174567531
LBN Legal business name Granite Falls Ltc, Llc
DBA Doing business as Kannon Creek Assisted Living
Authorized official Mcdaniel, Karen G
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2006
Last updated Apr 7th, 2017 - about 8 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 1174567531 NPPES
North Carolina MEDICAID 7806637

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