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Willow Ridge Assisted Living LLC

Assisted Living Facility in Charlotte, NC · enumerated 2007 · authorized official Kenneth Hodges, Member Manager.

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

National Provider Identifier

1215063441

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Registry record

Entity type Organization (Type 2)
Legal business name Willow Ridge Assisted Living LLC
Other name <Unavail>
Practice address 2140 Milton Rd, Charlotte, NC, 28215
Phone (704) 563-7650
Fax (704) 535-6950
Enumeration date Feb 23, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License HAL060070 (NC) Primary

Authorized official

Name Kenneth Hodges
Title Member Manager
Phone (828) 738-3046

Other identifiers

Identifier Type State Issuer
7805586 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

Who is the authorized official for Willow Ridge Assisted Living LLC?
NPPES lists Kenneth Hodges (Member Manager) as the authorized official for this organization.
What is the NPI number for Willow Ridge Assisted Living LLC?
The NPI for Willow Ridge Assisted Living LLC is 1215063441, a Type 2 (organization) record in the CMS NPPES registry.

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