NPIMap

Organization Active NPI

Mayo's Loving Care

  • PACE Provider Organization
  • Rocky Mount, NC
National Provider Identifier
1114246956
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
MHL 064 115 Issued in NC
Legal business name
MAYO'S LOVING CARE
Practice address
105 Krista LN
Rocky Mount, NC 27803-5228
Phone
(252) 973-8593
Fax
(252) 407-4950
NPI assigned
May 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Mr. Samuel Cormelius Mayo Sr.
Title
QP
Phone
(252) 281-7717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X MHL 064 115 NC Primary

Addresses

Primary practice location

105 Krista LN
Rocky Mount, NC 27803-5228

Mailing address

PO Box 1705
Rocky Mount, NC 27802-1705

National Provider Directory

National Provider Directory
Tax ID family
Mayo's Loving Care2 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.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1114246956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278021705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 KRISTA LN",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278035228",
            "telephone_number": "252-973-8593",
            "fax_number": "252-407-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO'S LOVING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "CORMELIUS",
        "authorized_official_title_or_position": "QP",
        "authorized_official_telephone_number": "252-281-7717",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NC",
            "license": "MHL 064 115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.