Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southpark Senior Living LLC

Organization Assisted Living Facility · NPI 1982724100

Southpark Senior Living LLC is an Assisted Living Facility in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2101 Runnymede Ln
Charlotte, NC 28209-3316
Phone: (704) 525-5508
Fax: (704) 525-2672
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence HAL060076 (NC)
Alzheimer Center (Dementia Center) Taxonomy 311500000X · Licence HAL060076 (NC)

Record details

NPI number1982724100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Harder — Manager · (503) 375-9016
Other names Place At Southpark Assisted Living And Memory Care
NPI enumeratedMarch 30, 2007
Last updated in NPPESJuly 23, 2008
Mailing addressPo Box 3006, Salem, OR 97302-0006

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