SOUTHERN ASSISTED LIVING, LLC. (NPI# 1194881581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194881581 |
Entity Type | Organization |
Organization Name | SOUTHERN ASSISTED LIVING, LLC. |
Other Organization Name | CLARE BRIDGE AT BURLINGTON MANOR |
Practice Address |
3619 S Mebane St Burlington NC 27215-5221 |
Mailing Address |
6737 W Washington St Suite 2300 Milwaukee WI 53214-5647 |
Practice Telephone | 3365380367 |
Enumeration Date | 2006-12-29 |
Last Update Date | 2011-04-06 |
Authorized Official Name | MARK OHLENDORF (CO-PRESIDENT) |
Authorized Official Telephone | 4149185000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7804073 | 05 |
Other Name | Type Code |
---|---|
Clare Bridge at Burlington Manor | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548326945 | Southern Assisted Living, LLC. | Assisted Living Facility | 1750 Robinwood Rd, Gastonia, NC 28054-1664 | 2006-12-29 |
1417013822 | Southern Assisted Living, LLC. | Assisted Living Facility | 2806 Peachtree Rd, Statesville, NC 28625-8204 | 2006-12-29 |
1174689483 | Southern Assisted Living, LLC. | Assisted Living Facility | 1560 Skeet Club Rd, High Point, NC 27265-9530 | 2006-12-29 |
1093871949 | Southern Assisted Living, LLC. | Assisted Living Facility | 1717 Union Rd, Gastonia, NC 28054-5583 | 2006-12-28 |
1699831594 | Southern Assisted Living, LLC. | Assisted Living Facility | 611 Brooks St, Wake Forest, NC 27587-2978 | 2006-12-28 |
1427114412 | Southern Assisted Living, LLC. | Assisted Living Facility | 1145 Powell Rd, Lenoir, NC 28645-3655 | 2006-12-28 |
1083770937 | Southern Assisted Living, LLC. | Assisted Living Facility | 17 Regional Dr, Pinehurst, NC 28374-8650 | 2006-12-28 |
1023174687 | Southern Assisted Living, LLC. | Assisted Living Facility | 2441 E Broad St, Statesville, NC 28625-4407 | 2006-12-28 |
1518023183 | Southern Assisted Living, LLC. | Assisted Living Facility | 201 W Hartley Dr, High Point, NC 27265-2843 | 2006-12-28 |
1356407217 | Southern Assisted Living, LLC. | Assisted Living Facility | 2980 Reynolda Rd, Winston Salem, NC 27106-3047 | 2006-12-28 |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporation | Southern Assisted Living, LLC | 111 Westwood Place, Suite 400 , Brentwood, TN 37027-5057 |
Virginia Business Entity | Southern Assisted Living, LLC | 111 WESTWOOD PL STE 400 , BRENTWOOD, TN 37027 |
Street Address |
3619 S MEBANE ST |
City | BURLINGTON |
State | NC |
Zip Code | 27215-5221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
Find all providers in zip 27215 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
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. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376059709 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 1701 Salem Rd Apt O11, Burlington, NJ 08016-8117 | 2017-12-21 |
1033625686 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 309 Northgate Vlg Apt 79, Burlington, NJ 08016-4012 | 2017-12-19 |
1124534771 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 309 Northgate Vlg Apt 89, Burlington, NJ 08016-4012 | 2017-12-19 |
1952817504 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 309 Northgate Vlg Apt 99, Burlington, NJ 08016-4012 | 2017-12-19 |
1861908410 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 309 Northgate Vlg Apt 255, Burlington, NJ 08016-4012 | 2017-12-19 |
1144736794 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 309 Northgate Vlg Apt 267, Burlington, NJ 08016-4012 | 2017-12-19 |
1023524675 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 309 Northgate Vlg Apt 279, Burlington, NJ 08016-4012 | 2017-12-19 |
1053827600 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 309 Northgate Vlg Apt 289, Burlington, NJ 08016-4012 | 2017-12-19 |
1114433760 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 309 Northgate Vlg Apt 303, Burlington, NJ 08016-4012 | 2017-12-19 |
1790290641 | A.d.e.p.t. Programs, Inc. | Assisted Living Facility | 1701 Salem Rd Apt O5, Burlington, NJ 08016-3158 | 2017-12-13 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 27215 |
Please comment or provide details below to improve the information on SOUTHERN ASSISTED LIVING, LLC..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.