Provider Demographics
NPI:1942342316
Name:REME, LLC
Entity Type:Organization
Organization Name:REME, LLC
Other - Org Name:CAMBRIDGE HILLS ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-545-9573
Mailing Address - Street 1:140 BROOKSTONE TER
Mailing Address - Street 2:P.O. BOX 1209
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-5732
Mailing Address - Country:US
Mailing Address - Phone:919-545-9573
Mailing Address - Fax:919-545-9072
Practice Address - Street 1:140 BROOKSTONE TER
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-5732
Practice Address - Country:US
Practice Address - Phone:919-545-9573
Practice Address - Fax:919-545-9072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-019-019310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7805428Medicaid