SOUTHERN LIVING FOR SENIORS OF BURNSVILLE NC LLC (NPI# 1396232195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396232195 |
| Entity Type | Organization |
| Organization Name | SOUTHERN LIVING FOR SENIORS OF BURNSVILLE NC LLC |
| Other Organization Name | SOUTHERN LIVING FOR SENIORS |
| Practice Address |
270 Love Fox Rd Burnsville NC 28714-9109 |
| Practice Telephone | 8286823417 |
| Mailing Telephone | 8286823417 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |
| Authorized Official Name | KENNETH SIMONS (MANAGING MEMBER) |
| Authorized Official Telephone | 4705512006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Southern Living for Seniors | Doing Business As Name - Organization |
| Street Address |
270 LOVE FOX RD |
| City | BURNSVILLE |
| State | NC |
| Zip Code | 28714-9109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154895894 | Mh Mission Hospital, Lllp | Ambulance | 225 Wheeler Hill Rd., Burnsville, NC 28714 | 2019-01-16 |
| 1528579430 | Healthstat Onsite Clinic Hsm-micaville | Preventive Medicine | 455 Hickory Springs Road, Burnsville, NC 28714 | 2017-10-18 |
| 1649794470 | Nalda Rives Mills | Counselor | 121b Boone Ridge Dr, Burnsville, NC 28714 | 2017-08-02 |
| 1386029106 | Kyle Duncan | Dentist | 534 East Bypass, Burnsville, NC 28714 | 2015-07-22 |
| 1326474503 | Priscilla Jones Whitson | Physical Therapist | 1720 Us Highways 19e, Burnsville, NC 28714 | 2013-09-19 |
| 1467724179 | Melissa Hill Rosenberger | Pharmacist | 115 Reservoir Road Hwy 19 East Bypass, Burnsville, NC 28714 | 2012-01-27 |
| 1649507971 | Cnc / Access Inc. | In Home Supportive Care | 109 Us Hwy 19 East, Bldg 3 Unit 13, Burnsville, NC 28714 | 2009-11-06 |
| 1841526910 | Beth E Ball | Nurse Practitioner | 800 Medical Campus Drive, Burnsville, NC 28714 | 2009-10-26 |
| 1023255122 | Amy M Earnheart | Counselor | 333 Mountain Heritage High School Road, Bursnville, NC 28714 | 2009-01-11 |
| 1245419480 | Yancey County Committee On Aging, Inc. | Health Maintenance Organization | 10 Swiss Avenue, Burnsville, NC 28714 | 2007-10-24 |
| Find all providers in zip 28714 | ||||
| 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 |
|---|---|---|---|---|
| 1568095438 | Roers Senior Living Burnsville LLC | Assisted Living Facility | 14401 Grand Avenue, Burnsville, MN 55306 | 2020-02-19 |
| 1104359827 | Minnesota Senior Living, LLC | Assisted Living Facility | 11111 River Hills Dr, Burnsville, MN 55337-3259 | 2017-04-10 |
| 1861818023 | Phs Burnsville, LLC | Assisted Living Facility | 1921 W Burnsville Pkwy, Burnsville, MN 55337-4240 | 2014-03-12 |
| 1073858551 | The Rivers Operations LLC | Assisted Living Facility | 11151 River Hills Dr, Burnsville, MN 55337-3266 | 2012-12-10 |
| 1669701504 | Augustana Emerald Care LLC | Assisted Living Facility | 451 E Travelers Trl, Burnsville, MN 55337-2891 | 2009-12-23 |
| 1689902553 | Burnsville Operating Al, LLC | Assisted Living Facility | 6 Cooper Ln, Burnsville, NC 28714-2959 | 2009-12-03 |
| 1275717936 | Minnesota Community Hospice Inc | Assisted Living Facility | 1412 Summit Oaks Dr, Burnsville, MN 55337-4744 | 2007-12-18 |
| 1134251572 | Mountain Manor Assisted Living, LLC | Assisted Living Facility | 270 Love Fox Road, Burnsville, NC 28714-9109 | 2007-03-12 |
| 1174676548 | Augustana Senior Development, LLC | Assisted Living Facility | 14500 Regent Ln, Burnsville, MN 55306-5556 | 2007-01-19 |
| 1649669193 | The Lodges Company | Assisted Living Facility | 1412 Summit Oaks Dr, Burnsville, MN 55337-4744 | 2015-01-21 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 28714 |
Please comment or provide details below to improve the information on SOUTHERN LIVING FOR SENIORS OF BURNSVILLE NC 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.