<Unavail>

LBN: Willow Ridge Assisted Living Llc
<Unavail> is an health care organization with primary practice located at 2140 Milton Rd , Charlotte NC 28215-3319. 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. Willow Ridge Assisted Living Llc can be contacted via phone (704) 563-7650, or through Hodges, Kenneth via phone (828) 738-3046.

Contact Information

Primary practice address
2140 Milton Rd Charlotte NC 28215-3319
Phone: (704) 563-7650
Fax: (704) 535-6950
Website:
Map and Directions
Authorized official contact:
Name: Hodges, Kenneth
Phone: (828) 738-3046

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL060070 North Carolina

Profile Details

NPI number 1215063441
LBN Legal business name Willow Ridge Assisted Living Llc
DBA Doing business as <Unavail>
Authorized official Hodges, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 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 1215063441 NPPES
North Carolina MEDICAID 7805586

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