Mountain Care Facilities

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL-095-002 Issued in NC

Legal business name

MOUNTAIN CARE FACILITIES

Practice address

183 Graggville Rd
Boone, NC 28607

Phone

(828) 264-3744

NPI assigned

Mar 12, 2007

Last updated

Aug 22, 2020By 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

Paul Gragg

Title

Administrator

Phone

(828) 264-3744

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023140340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1040",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286071040",
            "telephone_number": "828-264-3744",
            "fax_number": "828-264-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 GRAGGVILLE RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "28607",
            "telephone_number": "828-264-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN CARE FACILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAGG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-264-3744"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-095-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801643",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanna Lee Morrison, MSW
• Verna Denise Moser, NP
• Hannah Catherine Motes, DO
• Motionatomy, PLLC (B3 Therapy, PLLC)
• Jamie Lynn Moul
• Mountain Family Medicine
• Mountain Laurel Family Practice, PLLC
• Mountaineer Medical Services, PLLC
• MSP Boone Clinic, PLLC
• Edith N Mubanda, RD.,LDN

• Adult Care Home Facility in Boone, NC
• Providers in Boone, NC by specialty
• Adult Care Home 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.