MORAVIAN ENTERPRISES LLC NPI 1710489976

NPI Information

NPI: 1710489976
Provider Name: MORAVIAN ENTERPRISES, LLC

Doing Business As: PROLIFIC COMMUNITY RESOURCES

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2515 PHILLIPS AVE STE A
GREENSBORO, NC
ZIP 27405
Phone: (336) 542-0581
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MORAVIAN ENTERPRISES, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Greensboro, 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 ENTERPRISES, LLC NPI is 1710489976. The provider is registered as an organization entity type.
The provider Is Doing Business As Prolific Community Resources.

The provider's business location address is:

2515 PHILLIPS AVE STE A
GREENSBORO, NC
ZIP 27405-357
Phone: (336) 542-0581
Fax: (336) 542-0464

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

The enumeration date for this NPI number is 3/5/2018 and was last updated on 10/25/2023.

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	251E00000X	Home Health				No
2	310400000X	Assisted Living Facility				No
3	101YP2500X	Counselor	Professional			No
4	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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