Mobile Care for the Assisted Living and Group Homes

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5005915 Issued in NC

Legal business name

MOBILE CARE FOR THE ASSISTED LIVING AND GROUP HOMES

Practice address

5061 Mercer Mill Brown Marsh Rd
Clarkton, NC 28433-8733

Phone

(910) 991-6259

NPI assigned

Dec 2, 2015

Last updated

Dec 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan Monroe, FNP-C

Title

Owner

Phone

(910) 991-6259

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1013382043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5061 MERCER MILL BROWN MARSH RD",
            "city": "CLARKTON",
            "state": "NC",
            "postal_code": "284338733",
            "telephone_number": "910-991-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5061 MERCER MILL BROWN MARSH RD",
            "city": "CLARKTON",
            "state": "NC",
            "postal_code": "284338733",
            "telephone_number": "910-991-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE CARE FOR THE ASSISTED LIVING AND GROUP HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-991-6259",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Clarkton, NC
• Providers in Clarkton, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.