SENIOR MEMORY CARE LLC (NPI# 1669607727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669607727 |
| Entity Type | Organization |
| Organization Name | SENIOR MEMORY CARE LLC |
| Other Organization Name | PRESTON HOUSE 2 |
| Practice Address |
4920 Harris Woods Blvd Charlotte NC 28269-0486 |
| Mailing Address |
Po Box 837 Davidson NC 28036-0837 |
| Practice Telephone | 7048953645 |
| Mailing Telephone | 7048953645 |
| Mailing Fax Number | 7048961978 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |
| Authorized Official Name | MR. NORMAN JOHN GORDON (PRESIDENT EDENCARE INC., MEMBER) |
| Authorized Official Telephone | 7048953645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | HAL060067 | NC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| PRESTON HOUSE 2 | Doing Business As Name - Organization |
| Street Address |
4920 HARRIS WOODS BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28269-0486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664438 | Alluring Occupational Therapy Services, Pllc | Occupational Therapy Assistant | 3020-i Prosperity Church Rd, Ste 523, Charlotte, NC 28269 | 2019-11-21 |
| 1366085094 | Crystal R Currie | Counselor | 8824 Cliff Cameron Drive, Uint 107, Charlotte, NC 28269 | 2019-10-25 |
| 1477102879 | Apryl N. Davis | Occupational Therapy Assistant | 3020-i Prosperity Church Rd., Charlotte, NC 28269 | 2019-09-09 |
| 1730744202 | Christopher Paige | Driver | 9805 Statesville Rd., Suite 6198, Charlotte, NC 28269 | 2019-05-09 |
| 1619532892 | Krb Support Services | Prevention Professional | 11634 Oak Street, Charlotte, NC 28269 | 2019-05-03 |
| 1184186769 | Kimberly M Lynch | Local Education Agency (LEA) | 11634 Oat Street, Charlotte, NC 28269 | 2019-04-03 |
| 1356802318 | Arleen M Blythe | Physical Therapy Assistant | 1521 Bucklebury Ct, Charlotte, NC 28269 | 2019-03-30 |
| 1174089064 | Quality Behavioral Health Services, Pllc | Social Worker | 9805 Statesville Rd, # 6095, Charlotte, NC 28269 | 2019-02-15 |
| 1326517855 | Mary Frances Pickens-wilson | Behavior Technician | 4628 Quinton Lane, Charlotte, NC 28269 | 2018-11-14 |
| 1548746605 | Tiffany Michelle Graham | Counselor | 9823 Cooper Run Ln, Charlotte, NC 28269 | 2018-07-12 |
| Find all providers in zip 28269 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326291121 | Five Star Quality Care- North Carolina, LLC | Alzheimer Center (Dementia Center) | 6101 Clarke Creek Parkway, Charlotte, NC 28269-6238 | 2008-10-24 |
| 1982724100 | Southpark Senior Living LLC | Alzheimer Center (Dementia Center) | 2101 Runnymede Ln, Charlotte, NC 28209-3316 | 2007-03-30 |
| 1366595647 | Preston House I, LLC | Alzheimer Center (Dementia Center) | 4910 Harris Woods Blvd, Charlotte, NC 28269-0486 | 2007-01-19 |
| 1881753127 | Csl Leaseco., Inc. | Alzheimer Center (Dementia Center) | 5820 Carmel Rd, Charlotte, NC 28226-8106 | 2006-12-06 |
| 1790392348 | Wickshire Steele Creek Opco, LLC | Alzheimer Center (Dementia Center) | 13600 S Tryon St, Charlotte, NC 28278-7623 | 2020-09-28 |
| 1023331832 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 3610 Randolph Rd, Charlotte, NC 28211-1318 | 2010-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407227382 | The Cardinal At North Hills Healthcare, LLC | Alzheimer Center (Dementia Center) | 311 Garden At North Hills, Raleigh, NC 27609 | 2015-10-16 |
| 1366677429 | J & S Care Inc. | Alzheimer Center (Dementia Center) | 943 Goins Road, Pembroke, NC 28372-8362 | 2009-05-19 |
| 1689827487 | Five Star Quality Care- North Carolina, LLC | Alzheimer Center (Dementia Center) | 13180 Dorman Road, Pineville, NC 28134 | 2008-10-24 |
| 1932368586 | Lutheran Retirement Ministries of Alamance County, North Carolina | Alzheimer Center (Dementia Center) | 3810 Heritage Dr, Burlington, NC 27215-9730 | 2008-06-07 |
| 1699932376 | Royal Laine Healthcare, LLC | Alzheimer Center (Dementia Center) | 3017 Dunn Rd, Fayetteville, NC 28312-8885 | 2008-05-20 |
| 1629268511 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 2500 Heritage Circle, Hendersonville, NC 28791 | 2007-07-27 |
| 1417157975 | Cranberry House, LLC | Alzheimer Center (Dementia Center) | 6215 Us 19e, Elk Park, NC 28622 | 2007-07-23 |
| 1629278437 | Yancey House, LLC | Alzheimer Center (Dementia Center) | 6 Cooper Lane, Burnsville, NC 28714 | 2007-07-19 |
| 1841490653 | Windsor House One, LLC | Alzheimer Center (Dementia Center) | 336 Rhodes Ave, Windsor, NC 27983-9611 | 2007-07-19 |
| 1679773485 | Hayesville House, LLC | Alzheimer Center (Dementia Center) | 480 Old 64 West, Hayesville, NC 28904 | 2007-07-19 |
| Find all providers with the same taxonomy | ||||
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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.