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Statesville Assisted Living

Preferred Provider Organization in Statesville, NC · enumerated 2006 · authorized official Aldo Baccala, Execuitve Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124191804

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Registry record

Entity type Organization (Type 2)
Legal business name Statesville Assisted Living
Practice address 2147 Davie Ave, Statesville, NC, 28625
Phone (704) 878-0123
Fax (704) 878-8689
Enumeration date Nov 17, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

305R00000X Preferred Provider Organization Managed Care Organizations · License HAL-049-023 (NC) Primary

Authorized official

Name Aldo Baccala
Title Execuitve Officer
Phone (707) 778-6719

Other identifiers

Identifier Type State Issuer
7804765 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Statesville Assisted Living?
The NPI for Statesville Assisted Living is 1124191804, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Statesville Assisted Living?
NPPES lists Aldo Baccala (Execuitve Officer) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.