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MOUNT EAGLE HEALTH CARE - CLEMMONS LLC NPI 1043683188


NPI Information

NPI: 1043683188
Provider Name: MOUNT EAGLE HEALTH CARE - CLEMMONS, LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
2554 LEWISVILLE CLEMMONS RD # 306
CLEMMONS, NC
ZIP 27012
Phone: (336) 934-4227
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MOUNT EAGLE HEALTH CARE - CLEMMONS, LLC is a nursing care in Clemmons, NC. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. MOUNT EAGLE HEALTH CARE - CLEMMONS, LLC NPI is 1043683188. The provider is registered as an organization entity type.

The provider's business location address is:

2554 LEWISVILLE CLEMMONS RD # 306
CLEMMONS, NC
ZIP 27012-110
Phone: (336) 934-4227

The provider's authorized official is Bahati N Simtaji .
The authorized official title is Director and has the following contact phone number (336) 934-4227.

The enumeration date for this NPI number is 11/12/2015 and was last updated on 11/12/2015.


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
1253Z00000XIn Home Supportive CareHC1587NORTH CAROLINANo
2251J00000XNursing CareHC1587NORTH CAROLINAYes

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

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