GA HC REIT II FAYETTEVILLE ALF TRS SUB, LLC


Address: 1164 71st School Rd, Fayetteville, NC 28314-2817
Phone: 2125472600

GA HC REIT II FAYETTEVILLE ALF TRS SUB, LLC (NPI# 1316584782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316584782
Entity Type Organization
Organization Name GA HC REIT II FAYETTEVILLE ALF TRS SUB, LLC
Practice Address 1164 71st School Rd
Fayetteville
NC 28314-2817
Mailing Address 590 Madison Ave Fl 34
New York
NY 10022-8533
Practice Telephone 2125472600
Mailing Telephone 2125472600
Enumeration Date 2019-12-04
Last Update Date 2020-02-05
Authorized Official Name ANN HARRINGTON (AUTHORIZED SIGNATORY)
Authorized Official Telephone 2125472659
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
Nursing & Custodial Care Facilities
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Office Location

Street Address 1164 71ST SCHOOL RD
City FAYETTEVILLE
State NC
Zip Code 28314-2817

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871723791 Carillon Assisted Living of Fayetteville, LLC Assisted Living Facility 1164 71st School Rd, Fayetteville, NC 28314-2817 2009-07-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528677812 Lamonica Laveta Greene Massage Therapist 7804 Loxley Drive, Fayetteville, NC 28314 2020-07-23
1467086496 The Pair Center for Couples Counseling Pllc Counselor 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 2020-02-28
1346898335 Chaitanya Joopally Dds Pllc Dentist 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 2019-09-03
1780231894 Bio-medical Applications of North Carolina, Inc. Clinic/Center 2360 Williamwood Lane, Fayetteville, NC 28314 2019-08-22
1164075982 A Touch of Grace Inc Day Training/Habilitation Specialist 2153 Heathcote Drive, Fayetteville, NC 28314 2019-07-21
1093284465 Candice Gorremans Physician Assistant 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 2018-11-15
1861983439 Jessica Lynne Smith Counselor 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 2018-05-19
1073003752 Gooden Mobile Pod Nc Pllc Podiatrist 311 Mcfadyen Dr, Fayetteville, NC 28314 2018-05-17
1093222101 Lauren Bonneau Behavioral Analyst 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 2018-01-10
1760900153 Elali Alisha Marie Moukwa Dentist 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 2017-09-06
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy 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.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306383450 Family First Operating, LLC Assisted Living Facility 113 Medical Center Blvd, Fayetteville, TN 37334-2685 2017-01-27
1235494246 Phenix Enterprise Services, LLC Assisted Living Facility 180 Championship Ct, Fayetteville, GA 30215-8017 2012-07-06
1619274644 Southern Manor Living Centers, LLC Assisted Living Facility 115 Medical Center Blvd, Fayetteville, TN 37334-2689 2011-02-28
1871723791 Carillon Assisted Living of Fayetteville, LLC Assisted Living Facility 1164 71st School Rd, Fayetteville, NC 28314-2817 2009-07-27
1750517496 Miracle Restoration Assisted Living Facility 4850 Old Savannah Church Rd, Fayetteville, NC 28312-9183 2009-06-09
1770737504 Lauren & Londen, Inc. Assisted Living Facility 610 Mann St, Fayetteville, NC 28301-6240 2008-11-06
1003079872 Valley Pines Adult Care Assisted Living Facility 2521 Muriel Dr, Fayetteville, NC 28306-3213 2008-07-02
1740466937 Magnolia Lane LLC Assisted Living Facility 3510 Camden Rd, Fayetteville, NC 28306-7717 2008-01-17
1528189917 Cedar Creek Assisted Living, LLC Assisted Living Facility 1124 Cedar Creek Rd, Fayetteville, NC 28312-6544 2007-04-03
1346370459 Peterkin & Associates, Inc. Assisted Living Facility 7559 Decatur Dr, Fayetteville, NC 28303-1989 2007-03-07
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Competitor

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City FAYETTEVILLE
Zip Code 28314

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Dataset Information

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.

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