Provider Demographics
NPI:1235883901
Name:RSS/CHARLOTTE OPERATIONS, LLC
Entity Type:Organization
Organization Name:RSS/CHARLOTTE OPERATIONS, LLC
Other - Org Name:PRESTON HOUSE MEMORY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JENNILEE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-371-4233
Mailing Address - Street 1:5430 WADE PARK BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-4191
Mailing Address - Country:US
Mailing Address - Phone:919-371-4233
Mailing Address - Fax:
Practice Address - Street 1:4910 HARRIS WOODS BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-0486
Practice Address - Country:US
Practice Address - Phone:704-741-5785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home