Organization · Type 2 NPI

Northlake Al Holdings, LLC

Adult Care Home Facility · Charlotte, NC

NPI number 1063964823 Active

Practice location

9108 Reames Rd
Charlotte, NC 28216-1824

Mailing address

PO Box 2568
Hickory, NC 28603-2568

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility 310400000XHAL060150 (NC)
Adult Care Home Facility Primary 311ZA0620XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

2 other providers at this address

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About NPI 1063964823

Northlake Al Holdings, LLC's National Provider Identifier is 1063964823, issued on Oct 27, 2016. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Charlotte, NC. The record was last updated on Nov 2, 2021.