McLamb Rest Home Two

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-051-008 Issued in NC

Legal business name

MCLAMB REST HOME TWO

Practice address

998 Five Points Rd
Benson, NC 27504-7036

Phone

(919) 207-0282

Fax

(919) 894-2349

NPI assigned

Feb 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Wanda C Berrier, MSA

Title

Administrator

Phone

(919) 207-0282

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

McLamb Rest Home Two2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• McLamb's Rest H Ome

  • Assisted Living Facility
  • Benson, NC
  • NPI 1093863268
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013044775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 FIVE POINTS RD",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275047036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 FIVE POINTS RD",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275047036",
            "telephone_number": "919-207-0282",
            "fax_number": "919-894-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAMB REST HOME TWO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRIER",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-207-0282",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-051-008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801682",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Raynor Massengill, OD
• William Willard Massengill Jr., LCSW
• Robert Charles Matthews, MD
• Eugene H Maynard Jr., M.D.
• Kristina Devin McCorkle
• McLamb's Rest H Ome
• Med Transit
• Mercy Health Care Services, LLC
• Theresa M Micke, PA-C
• Latanya Miller

• Assisted Living Facility in Benson, NC
• Providers in Benson, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.