MORAVIAN FAMILY CARE HOME LLC NPI 1356853949

NPI Information

NPI: 1356853949
Provider Name: MORAVIAN FAMILY CARE HOME LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
7604 FAIRHAVEN RD
BROWNS SUMMIT, NC
ZIP 27214
Phone: (336) 554-3486
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MORAVIAN FAMILY CARE HOME LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Browns Summit, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MORAVIAN FAMILY CARE HOME LLC NPI is 1356853949. The provider is registered as an organization entity type.

The provider's business location address is:

7604 FAIRHAVEN RD
BROWNS SUMMIT, NC
ZIP 27214-643
Phone: (336) 554-3486

The provider's authorized official is Megan Commedo Moravian .
The authorized official title is Founder/admin and has the following contact phone number (336) 542-0581.

The enumeration date for this NPI number is 11/3/2017 and was last updated on 11/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL-041-1142	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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