PIEDMONT ADULT LIVING SERVICES, INC.


Address: 1201 South Blvd, Charlotte, NC 28203-4207
Phone: 7043700093

PIEDMONT ADULT LIVING SERVICES, INC. (NPI# 1639212764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639212764
Entity Type Organization
Organization Name PIEDMONT ADULT LIVING SERVICES, INC.
Other Organization Name PALS ADULT DAY CARE CENTER
Practice Address 1201 South Blvd
Charlotte
NC 28203-4207
Mailing Address 1201 South Blvd
Po Box 669385
Charlotte
NC 28203-4207
Practice Telephone 7043700093
Practice Fax Number 7043700940
Mailing Telephone 7043700093
Mailing Fax Number 7043700940
Enumeration Date 2007-02-15
Last Update Date 2020-08-22
Authorized Official Name BETTYE C. MILLS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7043700093
Authorized Official Credential BACHLOR IN NURSI
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
261QA600X NC Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
PALS Adult Day Care Center Doing Business As Name - Organization

Office Location

Street Address 1201 SOUTH BLVD
City CHARLOTTE
State NC
Zip Code 28203-4207

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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

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1013136183 Loving Care Adult Day Care and Health Center Inc. Clinic/Center 7917 Moores Chapel Rd, Suite D, Charlotte, NC 28214-1559 2007-04-25

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Competitor

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City CHARLOTTE
Zip Code 28203

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Dataset Information

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.

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