# LANDMARK ASSISTED LIVING LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Landmark Estates, Grayson Creek of Welcome
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235238957
- **Authorized official:** EVLEYN MCCUBBINS (OWNER/ADMIN)
- **Authorized official phone:** (336) 752-2751

## Contact information

- **Practice address:** 6781 OLD US HIGHWAY 52, LEXINGTON, NC 27295-5336
- **Practice address phone:** (336) 752-2751
- **Mailing address:** 2959 SOWERS RD, LINWOOD, NC 27299-9351
- **Mailing address phone:** (336) 752-2751
- **Mailing address fax:** (336) 752-2410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 10/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7801233 | — | NC |