Healthcare Provider Details

I. General information

NPI: 1073107892
Provider Name (Legal Business Name): ASHLEY CARE HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2021
Last Update Date: 02/22/2021
Certification Date: 02/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10027 LOMAX RIDGE DR
CHARLOTTE NC
28216-2178
US

IV. Provider business mailing address

10027 LOMAX RIDGE DR
CHARLOTTE NC
28216-2178
US

V. Phone/Fax

Practice location:
  • Phone: 704-620-1309
  • Fax:
Mailing address:
  • Phone: 704-620-1309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. ASHLEY WILLIAMS
Title or Position: OWNER
Credential: M.ED., CCC-SLP
Phone: 704-620-1309