MORNINGSIDE OF CONCORD, LLC (NPI# 1750329736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750329736 |
| Entity Type | Organization |
| Organization Name | MORNINGSIDE OF CONCORD, LLC |
| Other Organization Name | MORNINGSIDE OF CONCORD |
| Practice Address |
500 Penny Ln Concord NC 28025-0600 |
| Mailing Address |
400 Centre St Newton MA 02458-2094 |
| Practice Telephone | 7047951200 |
| Practice Fax Number | 7047951210 |
| Mailing Telephone | 6177968387 |
| Mailing Fax Number | 6177968385 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2016-06-27 |
| Authorized Official Name | BRUCE J MACKEY JR. (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6177968214 |
| Is Organization Subpart | Y |
| Parent Organization Name | MORNINGSIDE OF CONCORD, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL-013-026 | NC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Morningside of Concord | Doing Business As Name - Organization |
| Street Address |
500 PENNY LN |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-0600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110664 | Snh Nc Tenant LLC | Assisted Living Facility | 500 Penny Ln, Concord, NC 28025-0600 | 2019-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| 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 |
|---|---|---|---|---|
| 1891266011 | Letitia Trif | Assisted Living Facility | 3647 Wren Ave, Concord, CA 94519-1767 | 2018-12-16 |
| 1245746890 | A Blissful Retreat, LLC | Assisted Living Facility | 4200 Cowell Rd, Concord, CA 94518-1806 | 2017-12-19 |
| 1891149761 | Home Sweet Care Homes, Inc. | Assisted Living Facility | 1584 Dianda Dr, Concord, CA 94521-1951 | 2016-04-18 |
| 1245617620 | Magnolia Guest Home LLC | Assisted Living Facility | 1639 Fairwood Dr, Concord, CA 94521 | 2015-05-05 |
| 1942693049 | Agape Assisted Living Inc | Assisted Living Facility | 1841 Andrea Ln, Concord, CA 94519-1830 | 2015-03-12 |
| 1053718783 | Aj's Senior Care Home | Assisted Living Facility | 3938 Cowell Rd, Concord, CA 94518-1709 | 2014-11-24 |
| 1396160685 | Paradise Villa Senior Care, LLC | Assisted Living Facility | 836 San Simeon Dr, Concord, CA 94518-2245 | 2014-02-24 |
| 1265747562 | Concord Place | Assisted Living Facility | 2452 Rock Hill Church Rd Nw, Concord, NC 28027-8048 | 2010-08-11 |
| 1811141104 | Twenty Two Pack Management Corp | Assisted Living Facility | 1501 Zion Church Rd E, Concord, NC 28025-6827 | 2008-11-13 |
| 1841316635 | Volunteers of America-concord Park | Assisted Living Facility | 68 Commonwealth Ave, Concord, MA 01742-2967 | 2007-03-22 |
| Find all providers in CONCORD | ||||
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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.