Mountain Living Adult Care Home

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

HAL-005-014 Issued in NC

Legal business name

MOUNTAIN LIVING ADULT CARE HOME

Practice address

121 Brook St
Jefferson, NC 28640-9643

Phone

(336) 846-2424

Fax

(336) 846-2424

NPI assigned

Aug 24, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Roger L. Greer

Title

Owner

Phone

(336) 846-2424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1053691907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BROOK ST",
            "address_2": "P.O. BOX 240",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409643",
            "telephone_number": "336-846-2424",
            "fax_number": "336-846-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BROOK ST",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409643",
            "telephone_number": "336-846-2424",
            "fax_number": "336-846-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN LIVING ADULT CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-846-2424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "HAL-005-014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward J Miller, M.D.
• Kathleen Miller, NP-C
• Alisa A Morgan, LMFT
• James Patrick Mortimer, D.O.
• Mount Jefferson Family Medicine, P.a.
• Mountainlife Home Care, Inc. (MountainLife In-Home Aide Service)
• MSP Boone Clinic, PLLC
• Mt Jefferson Child Development Center
• Uwe Mueller, RN
• Kinsey Nance, FNP

• Health Service Clinic/Center in Jefferson, NC
• Providers in Jefferson, NC by specialty
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.