Meadowwoods Assisted Living

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

FCL-001-092 Issued in NC

Legal business name

MEADOWWOODS ASSISTED LIVING

Practice address

301 Homewood Ave
Burlington, NC 27217-2839

Phone

(336) 228-8838

Fax

(336) 228-8838

NPI assigned

Feb 7, 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

Ms. Mittie B Fuller

Title

Administrator-Owner

Phone

(336) 684-2282

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083754410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1996",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272161996",
            "telephone_number": "336-226-8838",
            "fax_number": "336-226-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HOMEWOOD AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172839",
            "telephone_number": "336-228-8838",
            "fax_number": "336-228-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWWOODS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "MITTIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR-OWNER",
        "authorized_official_telephone_number": "336-684-2282",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "FCL-001-092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804633",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Burke McPherson
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• Cynthia Elaine McSwain, LPCA
• Rebecca Anne McVey, CNM
• Mdfamily Medical Group
• Meaningful Lives Counseling, PLLC
• Gwendolyn C Mebane
• Mebane's Family Care #2
• Mebane's Family Care #3
• Erin Mecum, PA-C

• Custodial Care Facility in Burlington, NC
• Providers in Burlington, NC by specialty
• Custodial Care 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.