Moravian Family Care Home II

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MORAVIAN FAMILY CARE HOME II

Practice address

7604 Fairhaven Rd
Browns Summit, NC 27214-9643

Phone

(336) 554-3486

NPI assigned

Mar 10, 2016

Last updated

Mar 10, 2016By 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

Megan C MoravianNPI 1356853956

Title

Owner

Phone

(336) 554-3486

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Megan Commedo Moravian

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Browns Summit, NC
  • NPI 1356853956
  Authorized official Same address or phone

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1083075667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 HOLMES RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 FAIRHAVEN RD",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149643",
            "telephone_number": "336-554-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORAVIAN FAMILY CARE HOME II",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "MORAVIAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-554-3486"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mag's House
• Tedd B Masiongale, CCC-SLP
• Nituya Maye
• Amy Susan McKee, MA, CCC-SLP
• Angela M Mirarchi, CRNA
• Moravian Family Care Home LLC
• Megan Commedo Moravian
• Moses Cone Medical Services, Inc. (Brown Summit Family Medicine)
• New Life Opportunitites, LLC
• NP Primary Care House Calls (Primary Care)

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Browns Summit, NC
• Providers in Browns Summit, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.