BLAIR ASSISTED LIVING (NPI# 1902944499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902944499 |
| Entity Type | Organization |
| Organization Name | BLAIR ASSISTED LIVING |
| Practice Address |
311 N Main St Laurinburg NC 28352-3121 |
| Mailing Address |
Po Box 2342 Laurinburg NC 28353-2342 |
| Practice Telephone | 9103189667 |
| Practice Fax Number | 9102769223 |
| Mailing Telephone | 9103189667 |
| Mailing Fax Number | 9102769223 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARLITA MOUJAHED (OWNER) |
| Authorized Official Telephone | 9103189667 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FCL-083-008 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7805182 | 05 |
| Street Address |
311 N MAIN ST |
| City | LAURINBURG |
| State | NC |
| Zip Code | 28352-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497291645 | Hope Mckee | Physician Assistant | 500 Launchwood Dr, Laurinburg, NC 28352 | 2017-01-12 |
| 1174073753 | Scotland County Area Transit System | Non-emergency Medical Transport (VAN) | 1403- C West Boulevard, Laurinburg, NC 28352 | 2016-10-07 |
| 1972969780 | Onsite Healthcare Services LLC | Family Medicine | 9141 Tartan Road, Laurinburg, NC 28352 | 2016-01-08 |
| 1952775108 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 907 Us 401 Bypass, Laurinburg Commons, Laurinburg, NC 28352 | 2015-11-25 |
| 1790165165 | Sheena Kang Neil | Dentist | 109 Mcalpine Ln, Laurinburg, NC 28352 | 2015-06-01 |
| 1114321973 | Alicia Oxendine | Social Worker | 12121 Mccarter Avenue, Laurinburg, NC 28352 | 2014-10-22 |
| 1699185231 | Allen Ballew | Family Medicine | 1707 Berwick Dr Ste B, Laurinburg, NC 28352 | 2014-05-05 |
| 1205256435 | Sharon Miller | Social Worker | 405 Biggs St., Laurinburg, NC 28352 | 2014-04-28 |
| 1215375563 | Qwenzella Wynn | Counselor | 12640 Southwood Dr, Laurinburg, NC 28352 | 2013-06-10 |
| 1114360401 | Jewel Antiqual Mcintyre | Counselor | 420 Fairley Street, Laurinburg, NC 28352 | 2013-04-17 |
| Find all providers in zip 28352 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356489843 | Blair Assisted Living Inc | Custodial Care Facility | 301 Mclaurin Ave, Laurinburg, NC 28352-3621 | 2007-02-05 |
| 1649318544 | Blair Assisted Living Inc | Custodial Care Facility | 301 S Caledonia Rd, Laurinburg, NC 28352-3811 | 2007-02-02 |
| 1154409662 | Ti-willow Haven | Custodial Care Facility | 1703 Stonewall Rd, Laurinburg, NC 28352-9706 | 2006-11-01 |
| 1114450814 | Z & V Adult Care LLC | Custodial Care Facility | 1703 Stonewall Rd, Laurinburg, NC 28352-9706 | 2017-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
| City | LAURINBURG |
| Zip Code | 28352 |
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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.