Willow Ridge Assisted Living Llc in Charlotte - Assisted Living Facility

Willow Ridge Assisted Living Llc - NPI 1215063441

Willow Ridge Assisted Living Llc is a Assisted Living Facility in Charlotte, North Carolina. Willow Ridge Assisted Living Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Willow Ridge Assisted Living Llc is 1215063441. The last update date is 2020-08-22.

Willow Ridge Assisted Living Llc's current location address is 2140 Milton Rd, Charlotte, North Carolina. You can contact this provider via phone number 7045637650 and fax number 7045356950. The mailing address for Willow Ridge Assisted Living Llc is 2140 Milton Rd, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Willow Ridge Assisted Living Llc
Address 2140 Milton Rd, Charlotte, North Carolina
Phone Number 7045637650
Fax Number 7045356950
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEMBER MAN
Authorized Official Name Hodges Kenneth
Telephone Number 8287383046

NPI Number Detail

NPI Number 1215063441
Provider Enumeration Date 2007-02-23
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2140 Milton Rd
City Charlotte
State North Carolina (NC)
Post Code 282153319
Phone Number 7045637650
Fax Number 7045356950

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Licence No HAL060070
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7805586 NC --

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FAQs about Willow Ridge Assisted Living Llc

What is the unique identifier code issued to Willow Ridge Assisted Living Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Willow Ridge Assisted Living Llc has been assigned the NPI (National Provider Identifier) 1215063441. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Willow Ridge Assisted Living Llc's facilities are situated?

The facilities of Willow Ridge Assisted Living Llc are physically located at the following address: 2140 Milton Rd, Charlotte, NC, 282153319.

What is Willow Ridge Assisted Living Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Willow Ridge Assisted Living Llc is Assisted Living Facility, and the taxonomy code that classifies this field of practice is 310400000X.

When was the Willow Ridge Assisted Living Llc's 1215063441 issued?

The Willow Ridge Assisted Living Llc's 1215063441 was issued on 2007-02-23.

When was the information pertaining to Willow Ridge Assisted Living Llc most recently updated or revised?

The details related to Willow Ridge Assisted Living Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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