LAUREN & LONDEN, INC. (NPI# 1770737504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770737504 |
| Entity Type | Organization |
| Organization Name | LAUREN & LONDEN, INC. |
| Other Organization Name | MANN STREET RESIDENTIAL CARE FACILITY |
| Practice Address |
610 Mann St Fayetteville NC 28301-6240 |
| Mailing Address |
Po Box 41133 Fayetteville NC 28309-1133 |
| Practice Telephone | 9105511192 |
| Mailing Telephone | 9105511192 |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |
| Authorized Official Name | MRS. CRYSTAL SPIGNER WILLIAMS (CEO) |
| Authorized Official Telephone | 9105511192 |
| Is Organization Subpart | Y |
| Parent Organization Name | LAUREN & LONDEN, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL-026-053 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DIVISION OF HEALTH SERVICE REGULATIONS | HAL-026-053 | 01 |
| Other Name | Type Code |
|---|---|
| Mann Street Residential Care Facility | Doing Business As Name - Organization |
| Street Address |
610 MANN ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-6240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1841320330 | Hope Rest Home, Inc. | Assisted Living Facility | 2967 Dunn Rd, Fayetteville, NC 28312-8883 | 2007-03-06 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
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| 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.