Statesville Assisted Living
NPI 1124191804 · Preferred Provider Organization · Statesville, NC
Statesville Assisted Living is a Preferred Provider Organization organization in Statesville, NC (NPI 1124191804).
Provider details
- NPI number
- 1124191804
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Aldo Baccala, Execuitve Officer(707) 778-6719
- License
- HAL-049-023 (NC)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2020-08-22
Frequently asked questions
- What is Statesville Assisted Living's NPI number?
- Statesville Assisted Living's National Provider Identifier (NPI) is 1124191804, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Statesville Assisted Living?
- Statesville Assisted Living is classified in the NPPES registry as Preferred Provider Organization (Managed Care Organizations).
- Where is Statesville Assisted Living located?
- Statesville Assisted Living's practice location on file with NPPES is 2147 Davie Ave, Statesville, NC 28625-9200.
- What is Statesville Assisted Living's phone number?
- The practice phone number listed in the NPPES registry for Statesville Assisted Living is (704) 878-0123.
- Who is the authorized official for Statesville Assisted Living?
- The authorized official listed on Statesville Assisted Living's NPPES record is Aldo Baccala, Execuitve Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Statesville Assisted Living's NPI active?
- Yes — Statesville Assisted Living's NPI (1124191804) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.