Organization · Type 2 NPI

CCJ Adult Care V LLC

Assisted Living Facility · Lawndale, NC

NPI number 1629940291 Active

Practice location

630 Sugar Hill Rd
Lawndale, NC 28090-9493

Call (980) 295-3020 Map

Fax (704) 406-9372

Mailing address

100 W Main Ave Apt 302
Gastonia, NC 28052-4172

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

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.

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About NPI 1629940291

CCJ Adult Care V LLC's National Provider Identifier is 1629940291, issued on Sep 22, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lawndale, NC. The record was last updated on May 6, 2026.