MOORESVILLE CENTER, LLC (NPI# 1881639979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881639979 |
| Entity Type | Organization |
| Organization Name | MOORESVILLE CENTER, LLC |
| Other Organization Name | MOORESVILLE CENTER |
| Practice Address |
550 Glenwood Dr Mooresville NC 28115-2876 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 7046647494 |
| Practice Fax Number | 7046648454 |
| Mailing Telephone | 6109254436 |
| Mailing Fax Number | 6109254351 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2011-11-14 |
| Authorized Official Name | JANE DROPESKEY (CORPORATE MANAGER) |
| Authorized Official Telephone | 6109254231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | NH0435 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7805725 | 05 |
| Other Name | Type Code |
|---|---|
| Mooresville Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679509368 | Mooresville Center, LLC | Skilled Nursing Facility | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2006-06-24 |
| Street Address |
550 GLENWOOD DR |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28115-2876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265064414 | Vitae Health Medical North Carolina, Pllc | Internal Medicine | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2020-02-06 |
| 1699313544 | The Citadel Mooresville LLC | Respite Care | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2019-12-11 |
| 1750877858 | Sydney Wilson Wike | Occupational Therapy Assistant | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2018-07-02 |
| 1366807869 | Cassandra Leazer | Physical Therapy Assistant | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2015-12-28 |
| 1336520923 | Kathryn Archer | Speech-Language Pathologist | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2015-06-09 |
| 1164826632 | Valerie Biele | Physical Therapist | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2014-10-13 |
| 1821402223 | Kaitlyn Kimrey | Speech-Language Pathologist | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2014-06-13 |
| 1932533387 | Amy Carolyn Bullard | Occupational Therapy Assistant | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2013-08-21 |
| 1699115568 | Allison Lindsey Ruff | Speech-Language Pathologist | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2013-06-25 |
| 1083954689 | Kathy Faye Mills | Nurse Practitioner | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2013-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172338 | Shawn Booth | Counselor | 111 Laporte Lane, Mooresville, NC 28115 | 2020-04-02 |
| 1407418262 | Carlyn Jean Malenfant | Dentist | Loveland Dental Group of Mooresville, 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-07-02 |
| 1619435906 | Loveland Dental Group of Mooresville | Dentist | 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-03-06 |
| 1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
| 1063869469 | Amber Hicks-thibodeau | Family Medicine | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | 2016-05-16 |
| 1003286774 | Lauren Holscher | Speech-Language Pathologist | 3369 Deal Rd, Mooresville, NC 28115 | 2015-10-06 |
| 1629460217 | Jenny S Ryerson | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115 | 2015-02-19 |
| 1720495435 | Lindsey Gardner | Pharmacist | 966 E Iredell Ave., Mooresville, NC 28115 | 2014-07-14 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1528312600 | Ronnie G. Davidson II Dmd Pa | Dentist | 134 N. Magnolia St., Mooresville, NC 28115 | 2012-10-29 |
| Find all providers in zip 28115 | ||||
| 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 |
|---|---|---|---|---|
| 1902292626 | Nicole L Hadley | Assisted Living Facility | 4758 E Hadley Rd, Mooresville, IN 46158-6616 | 2015-04-09 |
| 1184057390 | Carillon Assisted Living of Mooresville LLC | Assisted Living Facility | 198 E Waterlynn Rd, Mooresville, NC 28117-8074 | 2013-08-12 |
| 1043432313 | Harris Enterprise of Nc, Inc Dba Deal Care Inn | Assisted Living Facility | 1075 Deal Road, Mooresville, NC 28115 | 2007-05-03 |
| 1750415014 | Ttb Enterprises, LLC | Assisted Living Facility | 291 Commercial Dr, Mooresville, NC 28115 | 2007-03-16 |
| 1720126022 | Barrington On The Green Properties, LLC | Assisted Living Facility | 128 Brawley School Rd, Mooresville, NC 28117-9102 | 2007-02-01 |
| 1922014216 | Miller's Health Systems, Inc. | Assisted Living Facility | 225 W Harrison St, Mooresville, IN 46158-1634 | 2006-07-31 |
| 1447538657 | Snh Se Mooresville Tenant LLC | Assisted Living Facility | 128 Brawley School Rd, Mooresville, NC 28117-9102 | 2011-07-22 |
| 1831496702 | 550 Glenwood Operation LLC | Assisted Living Facility | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2011-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689104 | B&b Assisted Living Care LLC | Assisted Living Facility | 9461 Us Hwy 710s, Rowland, NC 28383 | 2020-08-10 |
| 1306465745 | Cedar Senior Living, LLC. | Assisted Living Facility | 670 Cedar Lake Ln, Clinton, NC 28328-8986 | 2020-04-15 |
| 1003444258 | Trinity Developmental Center, LLC | Assisted Living Facility | 4027 Franklin Meadows Dr, Matthews, NC 28105-6935 | 2020-03-31 |
| 1114562147 | Taylor Care Group, LLC | Assisted Living Facility | 1188 Bertha Wilson Rd, Blanch, NC 27212-9795 | 2019-11-13 |
| 1710528377 | Grace Village Inc | Assisted Living Facility | 501 River Bend Dr., Granite Falls, NC 28630 | 2019-10-04 |
| 1336799246 | Tieshquanna Ciare Richardson | Assisted Living Facility | 312 Kilgo St, Clayton, NC 27520-1651 | 2019-09-13 |
| 1326695404 | Snh Nc Tenant LLC | Assisted Living Facility | 5920 Mcchesney Dr, Charlotte, NC 28269-6238 | 2019-08-22 |
| 1659928174 | Coastal Pointe Senior Living LLC | Assisted Living Facility | 5220 Ocean Hwy W, Shallotte, NC 28470-4006 | 2019-08-20 |
| 1861046674 | A1a-arc of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd, Dunn, NC 28334-6240 | 2019-07-30 |
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 28115 |
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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.