ALDORAH SENIOR CARE LLC — NPI 1811470552 (Licensed & Credentialed Custodial Care Facility, Adult Care Home in CANDOR, NC)

CMS-1500 Box 24J / 33a • NPI

1811470552

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

311ZA0620X

Licensed & Credentialed Custodial Care Facility, Adult Care Home

Box 32 Service Location & ZIP+4

200 N MAIN ST, CANDOR, NC, 27229-9106

✓ 9-Digit EDI 837 ZIP+4 (27229-9106)

Practice Phone & Referral Fax

(910) 220-0092

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1811470552 (ALDORAH SENIOR CARE LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1811470552` (NPI-2 Organization / Facility)
Provider / Legal Name	ALDORAH SENIOR CARE LLC
Plain-English Specialty	Licensed & Credentialed Custodial Care Facility, Adult Care Home NUCC Code: `311ZA0620X` (Custodial Care Facility, Adult Care Home)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	200 N MAIN ST, CANDOR, NC, 27229-9106
Practice Telephone / Fax	Tel: (910) 220-0092
Administrative Mailing Address	PO BOX 412, CANDOR, NC, 27229-0412
Enumeration & Last Sync	Enumerated: 2018-09-10 \| CMS Record Updated: 2018-09-10
Authorized Official	STACY MASSEY (Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

200 N MAIN ST, CANDOR, NC, 27229-9106

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Plain-English Taxonomy & CMS Crosswalk (311ZA0620X)

What Does Taxonomy Code 311ZA0620X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 311ZA0620X translates to:
"Licensed & Credentialed Custodial Care Facility, Adult Care Home"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Custodial Care Facility, Adult Care Home for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALDORAH SENIOR CARE LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`311ZA0620X` — Custodial Care Facility, Adult Care Home Plain English: Licensed & Credentialed Custodial Care Facility, Adult Care Home	State: NC \| License: `FCL-062-017` \| Primary: Secondary
`311ZA0620X` — Custodial Care Facility, Adult Care Home Plain English: Licensed & Credentialed Custodial Care Facility, Adult Care Home	State: NC \| License: `FCL-062-019` \| Primary: Secondary
`311ZA0620X` — Custodial Care Facility, Adult Care Home Plain English: Licensed & Credentialed Custodial Care Facility, Adult Care Home	State: NC \| License: `FCL-062-018` \| Primary: Yes (Primary)

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ALDORAH SENIOR CARE LLC (NPI #1811470552)