McLamb's Rest H Ome

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-051-007 Issued in NC

Legal business name

MCLAMB'S REST H OME

Practice address

998 Five Points Rd
Benson, NC 27504-7036

Phone

(919) 207-0282

Fax

(919) 894-2349

NPI assigned

Jan 6, 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

Mrs. Wanda C Berrier

Title

Administrator

Phone

(919) 207-0282

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

McLamb Rest Home Two2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• McLamb Rest Home Two

  • Assisted Living Facility
  • Benson, NC
  • NPI 1013044775
  NPD tax ID

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093863268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 FIVE POINTS RD",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275047036",
            "telephone_number": "919-207-0282",
            "fax_number": "919-894-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 FIVE POINTS RD",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275047036",
            "telephone_number": "919-207-0282",
            "fax_number": "919-894-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAMB'S REST H OME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRIER",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-207-0282",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-051-007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801681",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Willard Massengill Jr., LCSW
• Robert Charles Matthews, MD
• Eugene H Maynard Jr., M.D.
• Kristina Devin McCorkle
• McLamb Rest Home Two
• Med Transit
• Mercy Health Care Services, LLC
• Theresa M Micke, PA-C
• Latanya Miller
• Alison Alane Moeller

• Assisted Living Facility in Benson, NC
• Providers in Benson, NC by specialty
• Assisted Living 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.