Provider Demographics
NPI:1639411721
Name:AL ONE INVESTMENTS LLC
Entity Type:Organization
Organization Name:AL ONE INVESTMENTS LLC
Other - Org Name:SUNRISE ON PROVIDENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MECHLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-365-5252
Mailing Address - Street 1:5114 PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-5852
Mailing Address - Country:US
Mailing Address - Phone:704-365-5252
Mailing Address - Fax:704-365-4306
Practice Address - Street 1:5114 PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-5852
Practice Address - Country:US
Practice Address - Phone:704-365-5252
Practice Address - Fax:704-365-4306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-060-057310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility