Organization · Type 2 NPI

Sh1 Carmel Opco LLC

Adult Care Home Facility · Charlotte, NC

NPI number 1215691464 Active

Practice location

5820 Carmel Rd
Charlotte, NC 28226-8106

Call (704) 544-4979 Map

Fax (704) 540-7883

Mailing address

5101 NE 82nd Ave Ste 200
Vancouver, WA 98662-6343

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	None listed
Adult Care Home Facility Primary	311ZA0620X	None 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.

12 other providers at this address

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NPI record

NPI: 1215691464
Entity type: Organization (Type 2)
Issued: Oct 25, 2021
Last updated: Dec 8, 2021
Status: Active

Other names

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The Pines On Carmel Senior Living · doing business as
The Pines On Carmel Senior Living · doing business as

Authorized official

Ms. Terri Baker
Finance and Licensing Coordinator
(503) 998-5810

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215691464

Sh1 Carmel Opco LLC's National Provider Identifier is 1215691464, issued on Oct 25, 2021. 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 Dec 8, 2021.