CARILLON ASSISTED LIVING OF MONROE, LLC (NPI# 1881825529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881825529 |
| Entity Type | Organization |
| Organization Name | CARILLON ASSISTED LIVING OF MONROE, LLC |
| Other Organization Name | CARILLON ASSISTED LIVING OF INDIAN TRAIL |
| Practice Address |
5306 Secrest Short Cut Rd Monroe NC 28110 |
| Mailing Address |
4901 Waters Edge Dr Suite 200 Raleigh NC 27606-2464 |
| Practice Telephone | 9198524000 |
| Practice Fax Number | 9198524001 |
| Mailing Telephone | 9198524000 |
| Mailing Fax Number | 9198524001 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |
| Authorized Official Name | MR. KEVIN MARK JOHNSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9198524000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Carillon Assisted Living of Indian Trail | Doing Business As Name - Organization |
| Street Address |
5306 SECREST SHORT CUT RD |
| City | MONROE |
| State | NC |
| Zip Code | 28110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1366922353 | First Choice Supply, Inc | Clinic/Center | 2909 Waycross Dr, Monroe, NC 28110 | 2018-08-19 |
| 1235616491 | Joshua Gibbons | Physical Therapist | 1999 Wellness Blvd., Suite 220, Monroe, NC 28110 | 2018-07-20 |
| 1508356940 | Latoya I Sheppard | Prosthetist | 1643 Hilton Meadow Dr, Monroe, NC 28110 | 2018-05-11 |
| 1598266546 | Healthstat Onsite Clinic Conmet Monroe 1 | Preventive Medicine | 780 Patterson Avenue, Monroe, NC 28110 | 2018-02-26 |
| 1801397864 | Healthstat Onsite Con Met Monroe 2 | Preventive Medicine | 4515 Corporate Center Drive, Monroe, NC 28110 | 2018-02-26 |
| 1366969834 | Megan Thomas | Nurse Practitioner | 5708 Concord Hwy, Monroe, NC 28110 | 2017-08-25 |
| 1619385168 | Dillon Byrum | Specialist/Technologist | 28110 Eagle View Lane, Monroe, NC 28110 | 2014-07-29 |
| 1932545266 | Shane Markey | Dentist | 2258 W. Roosevelt Blvd, Suite A Dentistry of The Carolinas, Monroe, NC 28110 | 2013-05-14 |
| 1952648644 | Rolanda Johnson Abney | Social Worker | 2661 W Roosevelt Blvd Ste 107, Monroe, NC 28110 | 2013-01-15 |
| Find all providers in zip 28110 | ||||
| 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 |
|---|---|---|---|---|
| 1174138721 | Monroe Assisted Care Center Lc | Assisted Living Facility | 2299 Sterlington Rd, Monroe, LA 71203-3032 | 2020-09-10 |
| 1063026102 | Kesjan Assisted Living Care | Assisted Living Facility | 350 Desiard Plaza Dr Ste 117, Monroe, LA 71203-4959 | 2020-09-05 |
| 1922572783 | Laurie L Werrline | Assisted Living Facility | W5759 Mings Rd, Monroe, WI 53566-9795 | 2019-01-15 |
| 1265785273 | Georgia Health Services Network, LLC | Assisted Living Facility | 155 Bankers Blvd, Bldg A, Suite 100, Monroe, GA 30655-7722 | 2012-10-16 |
| 1063789501 | Monroe Manor Assisted Living Inc | Assisted Living Facility | 1101 Baucom Rd, Monroe, NC 28110-7584 | 2011-11-29 |
| 1841330776 | Agape II | Assisted Living Facility | 1008 Griffith Rd, Monroe, NC 28112-6241 | 2007-02-08 |
| 1699815035 | Hillcrest Church Rest Home, Inc. | Assisted Living Facility | 4123 Hillcrest Church Rd, Monroe, NC 28110-8292 | 2007-02-07 |
| 1669518981 | Agape I | Assisted Living Facility | 504 Colony Rd, Monroe, NC 28112-4511 | 2007-01-30 |
| 1558408898 | Jeff's Place | Assisted Living Facility | 1109 Griffith Rd, Monroe, NC 28112-6244 | 2007-01-30 |
| 1083751317 | Agape Windsor | Assisted Living Facility | 907 W Windsor St, Monroe, NC 28112-5469 | 2007-01-30 |
| Find all providers in MONROE | ||||
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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.