Carillon Assisted Living Of Southport

LBN: Carillon Assisted Living Of Southport
Carillon Assisted Living Of Southport is an health care organization with primary practice located at 1125 E Leonard St , Southport NC 28461-8316. The organization recently has only one registered license in Other Service Providers / Lodging, which is considered as the primary health care specialty. Carillon Assisted Living Of Southport can be contacted via phone (910) 454-4001, or through Maderios, Evie G. via phone (919) 852-4000.

Contact Information

Primary practice address
1125 E Leonard St Southport NC 28461-8316
Phone: (910) 454-4001
Fax: (910) 454-0300
Website:
Map and Directions
Authorized official contact:
Name: Maderios, Evie G.
Phone: (919) 852-4000

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lodging 177F00000X HAL-068-023 North Carolina

Profile Details

NPI number 1215145966
LBN Legal business name Carillon Assisted Living Of Southport
DBA Doing business as
Authorized official Maderios, Evie G.
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Jun 19th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215145966 NPPES
North Carolina MEDICAID 7805404

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