Organization Active NPI

Moravian Family Care Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1134599590
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
041-1025 Issued in NC
Legal business name
MORAVIAN FAMILY CARE HOME
Practice address
2905 Holmes Rd
Greensboro, NC 27405-4621
Phone
(336) 554-3486
Fax
(336) 554-3486
NPI assigned
Sep 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Megan Commedo Moravian
Title
Owner
Phone
(336) 554-3486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 041-1025 NC Primary

Addresses

Primary practice location

2905 Holmes Rd
Greensboro, NC 27405-4621

Mailing address

7604 Fairhaven Rd
Browns Summit, NC 27214-9643
Phone (336) 554-3486

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1134599590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 FAIRHAVEN RD",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149643",
            "telephone_number": "336-554-3486",
            "fax_number": "336-358-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 HOLMES RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054621",
            "telephone_number": "336-554-3486",
            "fax_number": "336-554-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORAVIAN FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "MORAVIAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "COMMEDO",
        "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": "NC",
            "license": "041-1025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.