MOORESVILLE SENIOR LIVING, LLC (NPI# 1972837631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972837631 |
| Entity Type | Organization |
| Organization Name | MOORESVILLE SENIOR LIVING, LLC |
| Other Organization Name | CHURCHILL SENIOR LIVING |
| Practice Address |
140 Carriage Club Dr Mooresville NC 28117-9284 |
| Mailing Address |
3723 Fairview Industrial Dr Se Salem OR 97302-1177 |
| Practice Telephone | 7046581200 |
| Practice Fax Number | 5034851279 |
| Mailing Telephone | 5033759016 |
| Mailing Fax Number | 5034851279 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |
| Authorized Official Name | SHIRLEY DUNN (CRO REPRESENTATIVE) |
| Authorized Official Telephone | 5034854948 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | HAL-049-025 | NC | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | HAL-049-025 | NC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Churchill Senior Living | Doing Business As Name - Organization |
| Street Address |
140 CARRIAGE CLUB DR |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-9284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124290309 | Tamera N Watkins | Occupational Therapist | 140 Carriage Club Dr, Mooresville, NC 28117-9284 | 2008-03-28 |
| 1831509462 | Leana Moyer | Occupational Therapist | 140 Carriage Club Dr, Mooresville, NC 28117-9284 | 2014-05-05 |
| 1023444122 | Constance A Andrews | Physical Therapist | 140 Carriage Club Dr, Mooresville, NC 28117-9284 | 2013-09-20 |
| 1346596202 | Tracy Lynn Furman | Physical Therapist | 140 Carriage Club Dr, Mooresville, NC 28117-9284 | 2012-07-30 |
| 1275807398 | Christy R Millsaps | Physical Therapist | 140 Carriage Club Dr, Mooresville, NC 28117-9284 | 2012-03-07 |
| 1023398187 | Leslie Samuelita Parker | Speech-Language Pathologist | 140 Carriage Club Dr, Mooresville, NC 28117-9284 | 2011-08-22 |
| 1700179496 | Lori A Magliulo | Occupational Therapist | 140 Carriage Club Dr, Mooresville, NC 28117-9284 | 2011-05-27 |
| 1770897159 | Lauren Ashley Bonasso | Occupational Therapist | 140 Carriage Club Dr, Mooresville, NC 28117-9284 | 2010-07-28 |
| 1629307368 | Sheila T Nance | Physical Therapist | 140 Carriage Club Dr, Mooresville, NC 28117-9284 | 2009-12-09 |
| 1831427574 | Robin Patricia King | Speech-Language Pathologist | 140 Carriage Club Dr, Mooresville, NC 28117-9284 | 2009-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| 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 |
| 1881639979 | Mooresville Center, LLC | Assisted Living Facility | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2006-06-20 |
| 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 | 28117 |
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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.