SOUTHERN ASSISTED LIVING, LLC. (NPI# 1568527554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568527554 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ASSISTED LIVING, LLC. |
| Other Organization Name | CAROLINA HOUSE OF LEXINGTON |
| Practice Address |
161 Young Dr Lexington NC 27292-4435 |
| Mailing Address |
6737 W Washington St Suite 2300 Milwaukee WI 53214-5647 |
| Practice Telephone | 3362381700 |
| Enumeration Date | 2006-12-27 |
| 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 | 7803526 | 05 |
| Other Name | Type Code |
|---|---|
| Carolina House of Lexington | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194881581 | Southern Assisted Living, LLC. | Assisted Living Facility | 3619 S Mebane St, Burlington, NC 27215-5221 | 2006-12-29 |
| 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 |
| 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 |
161 YOUNG DR |
| City | LEXINGTON |
| State | NC |
| Zip Code | 27292-4435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510021 | Alexander Youth Network | Community/Behavioral Health | 398 Owen Road, Rooms #616 & 618, Lexington, NC 27292 | 2019-10-18 |
| 1669911202 | Suzanne Rose Troy | Counselor | 110-a Cotton Grove Rd., Lexington, NC 27292 | 2017-02-15 |
| 1467908095 | Careatc - Leggett & Platt - Lexington, Nc | Clinic/Center | 3040 Junior Order Home Road, Lexington, NC 27292 | 2016-09-01 |
| 1437517182 | Regional Physicians LLC | Internal Medicine | 103 W Center St, Lexington, NC 27292 | 2016-02-09 |
| 1356772065 | Medstaffpc | Family Medicine | 3040 Junior Order Home Rd, Lexington, NC 27292 | 2013-12-05 |
| 1427306570 | Lisa Anne Kearns | Pharmacist | 880 Ervin Dr, Lexington, NC 27292 | 2012-08-21 |
| 1669756979 | Beth A Burns | Counselor | 19 E 2nd Ave Ste C, Lexington, NC 27292 | 2011-10-05 |
| 1629256185 | Holly Ann Clark | Counselor | 220 E First Ave Extension, Lexington, NC 27292 | 2008-02-07 |
| 1861675357 | High Rock Internal Medicine, Pa | Internal Medicine | 104 W. Medical Park Dr., Lexington, NC 27292 | 2007-12-07 |
| 1225229214 | Beatriz R. Aguero, Dds & Associates Iv, Pa | Dentist | 230 Lowes Blvd, Leexington, NC 27292 | 2007-08-06 |
| Find all providers in zip 27292 | ||||
| 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 |
|---|---|---|---|---|
| 1508415787 | Snh Derby Tenant LLC | Assisted Living Facility | 690 Mason Headley Rd, Lexington, KY 40504-2384 | 2019-09-10 |
| 1508157181 | Plum Creek Care Center, Inc. | Assisted Living Facility | 1507 N Adams St, Lexington, NE 68850-1243 | 2011-04-29 |
| 1104135169 | Monarch | Assisted Living Facility | 600 Price Rd, Lexington, NC 27295-1304 | 2010-09-24 |
| 1114258803 | Peoples Residential Care, LLC | Assisted Living Facility | 120 Addy Ln, Lexington, SC 29072-3405 | 2010-01-20 |
| 1518173830 | Bristol Care, Inc. | Assisted Living Facility | 2615 Main St, Lexington, MO 64067-1974 | 2007-05-15 |
| 1083734297 | Youville Place, Inc | Assisted Living Facility | 10 Pelham Rd, Suite 2000, Lexington, MA 02421-8400 | 2007-03-30 |
| 1063530467 | Northside Haven Association, Inc. | Assisted Living Facility | 50 Patton Place Rd, Lexington, MS 39095-5851 | 2007-03-26 |
| 1871610659 | Lexington Senior Living LLC | Assisted Living Facility | 1811 Ridgeway Dr, Lexington, NE 68850-1188 | 2007-03-25 |
| 1952434318 | Brookstone Retirement Ctr.,llc. | Assisted Living Facility | 2968 Old Salisbury Rd, Lexington, NC 27295-7293 | 2007-03-14 |
| 1477649283 | Southland Homes, Inc | Assisted Living Facility | 294 Old Nc Highway 109, Lexington, NC 27292-9401 | 2006-10-05 |
| Find all providers in LEXINGTON | ||||
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.