National Provider Identifier Database

CARILLON ASSISTED LIVING OF CRAMER MOUNTAIN
Lodging

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.


Contact Information

CARILLON ASSISTED LIVING OF CRAMER MOUNTAIN
500 CRAMER MOUNTAIN RD
CRAMERTON, NC28032-1663
Phone: 704-823-0500
Fax: 704-823-0504
Website:
Specialty Taxonomy Code
* Lodging 177F00000X

* Indicates primary specialty

NPI Profile & details for CARILLON ASSISTED LIVING OF CRAMER MOUNTAIN

NPI Number 1447468160
Legal business name
LBN
CARILLON ASSISTED LIVING OF CRAMER MOUNTAIN
Authorized official EVIE MADERIOS - (ACCOUNTS RECEIVABLE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/18/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: HAL-036-016
  • NC Medicaid: 7803905

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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