Statesville Assisted Living
NPI 1124191804ActiveOrganization· Preferred Provider Organization· Statesville, NC
Preferred Provider Organization in Statesville, North Carolina, registered in NPPES in November 2006. The authorized official on file is Aldo Baccala, Execuitve Officer.
Overview
| NPI | 1124191804 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | HAL-049-023 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|